Tracy Alan Callahan, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

186881 Issued in OH

Practice address

2450 Fairmount Blvd # M104
Cleveland HTS, OH 44106-3100

Phone

(216) 280-3862

NPI assigned

Dec 27, 2023

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1114796562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 LUDGATE RD",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441205007",
            "telephone_number": "216-280-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FAIRMOUNT BLVD # M104",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441063100",
            "telephone_number": "216-280-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "TRACY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "186881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin R Britt
• Lakeycha D Brown
• Sheila Brown, MSSA
• Diane Burts
• C a S Health Investors, Inc.
• Caring Companions Care Center LLC
• Stephen Carter Jr.
• Mickie Chaney
• Michael Choe
• Jamilla Cleveland

• Addiction (Substance Use Disorder) Counselor in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.