Johanna Callahan, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

107328 Issued in IA

Practice address

6200 Aurora Ave Ste 103E
Urbandale, IA 50322-6338

Phone

(515) 401-6886

NPI assigned

Jul 15, 2021

Last updated

Jul 15, 2021By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Callahan Counseling Services

  • Clinical Social Worker
  • Ankeny, IA
  • NPI 1700726379
  NPD Authorized official
• New Beginnings Counseling Service, LLC

  • Social Worker
  • Urbandale, IA
  • NPI 1972808954
  NPD
• Halls Life Counseling, LLC.

  dba Thrive Counseling Center

  • Mental Health Counselor
  • Ankeny, IA
  • NPI 1831691526
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1093387268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 103E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503226338",
            "telephone_number": "515-401-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 103E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503226338",
            "telephone_number": "515-401-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "JOHANNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "107328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Burnham, PHARMD
• Melissa Vienna Burt, OTD, OTR/L
• Larissa Bustamante
• Alyssa Marie Caldbeck, LMSW
• Pamela Caley, PHARMD
• Sarah Cammoun-Myers, M.A.
• Campbell Neuropsychological Services, PC
• Derek Allen Campbell, PH.D.
• Andrea Nicole Cardenas, PLMHC
• Caremark Carecenter Pharmacy, L.L.C. (Caremark Iowa CareCenter Pharmacy I, LLC)

• Social Worker in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.