Active NPI
Daniel Callahan, LAC
- Mental Health Counselor
- Glen Rock, NJ
National Provider Identifier
1063164374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AC-GTL-22-02508
- Practice address
- 266 Harristown Rd Ste 209
Glen Rock, NJ 07452-3321 - Phone
- (201) 564-7331
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AC-GTL-22-02508 | NJ | Primary |
Addresses
Primary practice location
266 Harristown Rd Ste 209
Glen Rock, NJ 07452-3321
Mailing address
44 Prospect St Apt 318
Morristown, NJ 07960-7810
Phone (240) 674-0951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC-GTL-22-02508 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Mental Health Services | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Rockville, MD
- NPI 1295326379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1063164374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 PROSPECT ST APT 318",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079607810",
"telephone_number": "240-674-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 HARRISTOWN RD STE 209",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074523321",
"telephone_number": "201-564-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "AC-GTL-22-02508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Rock, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.