Angela Callahan, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701006017 Issued in VA

Practice address

500 Washington St
Portsmouth, VA 23704-3508

Phone

(757) 372-7868

Fax

(757) 419-5365

NPI assigned

Dec 22, 2014

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 15, 2024 through Jan 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seek Your Serenity Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portsmouth, VA
  • NPI 1720622129
  NPD (past) Authorized official
• Serenity Counseling LLC

  • Professional Counselor
  • Portsmouth, VA
  • NPI 1639559800
  NPD (past) Authorized official

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1023406204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043508",
            "telephone_number": "757-372-7868",
            "fax_number": "757-419-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043508",
            "telephone_number": "757-372-7868",
            "fax_number": "757-419-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ANGELA",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C.H.a.N.G.E. Threapuetic Services
• Irish Caine
• Janie Calamusa, D.O.
• Gabriel Calderon
• Logan Paul Caldwell, DO
• Melissa Crowell Callahan, MD
• Robert Alonzo Callaway, MD
• Catherine Mary Calletto, LPC
• Amber Calloway, PHARMD
• Stewart Wesley Calloway

• Mental Health Counselor in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.