Shannon Callaghan, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14247 Issued in CA

Practice address

13681 Newport Ave Ste 8-440
Tustin, CA 92780-4689

Phone

(800) 778-1772

NPI assigned

Aug 7, 2023

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

Enrolled in CA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sensible Care, a Medical Corporation

  • Psychiatry Physician
  • Santa Ana, CA
  • NPI 1205368941
  Medicare reassignment

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1083397152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 NEWPORT AVE STE 8-440",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804689",
            "telephone_number": "800-778-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 NEWPORT AVE STE 8-440",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804689",
            "telephone_number": "800-778-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "SHANNON",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Foot and Ankle Group, Inc.
• California Interpreting Services
• California Neuroscience Specialists, Apc
• California Scoliosis Center
• California Sleep Neurology Organization for Wellness
• Carolyn Sy Calma, P.A.-C
• Jethro Calma
• Nancy Caltagirone, M.A.
• Judy Angelica Camarena, LMFT
• Megan Elizabeth Campbell, B.S., M.S.

• Mental Health Counselor in Tustin, CA
• Providers in Tustin, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.