Chontel A Johnson McCallum, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10380 SW Village Center Dr Ste 111
Port Saint Lucie, FL 34987-1931

Phone

(954) 608-9093

NPI assigned

Sep 7, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• CJM Counseling and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Saint Lucie, FL
  • NPI 1609620012
  NPD

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1073060075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR STE 111",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871931",
            "telephone_number": "954-608-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR STE 111",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871931",
            "telephone_number": "954-608-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON MCCALLUM",
        "first_name": "CHONTEL",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070812700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JJ Manor Assisted Living, LLC
• JN Louis LLC
• Ricardo Joassaint
• John R Istad PA
• Anthony John
• Austin Nyland Johnson
• Doris Johnson
• Jeffrey Norman Johnson, PA-C
• Mia Johnson
• Paul Erik Johnson, M.D.

• Mental Health Counselor in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 May 14, 2024; 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.