Kaylee McCallan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18405 Issued in FL

Practice address

390 16TH Ave S
Jacksonville Beach, FL 32250-4961

Phone

(904) 395-3899

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1003423310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 16TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504961",
            "telephone_number": "904-395-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 16TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504961",
            "telephone_number": "904-395-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLAN",
        "first_name": "KAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan W May, LMHC
• Mayfair Opticians Inc.
• MB 4 You, LLC
• Hazeline Katherine McCabe, PA
• Stacia McCahan, RD,LD/N
• Jill Tyler McCann, MS, RD, LD/N
• Cory Lee McCormick, ARNP
• Amy Annelle McCoy, D.O.
• Natalie McFadden
• William McGalliard, PHARMD

• Mental Health Counselor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.