Individual provider Active NPI

Malcolm Graham Maccallum, LMFT

  • Marriage & Family Therapist
  • Olathe, KS
National Provider Identifier
1265973432
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2844 Issued in KS
Practice address
15422 S Shannan LN
Olathe, KS 66062-3382
Phone
(913) 827-1573
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2844 KS Primary

Addresses

Primary practice location

15422 S Shannan LN
Olathe, KS 66062-3382

Mailing address

15422 S Shannan LN
Olathe, KS 66062-3382
Phone (913) 827-1573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20241123000068 KS Practitioner - Marriage and Family Therapist 3971038282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14906 W 150TH Ter
Olathe, KS 66062-4610
Phone (913) 687-8244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2844KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind Counseling LLC CurrentSince Nov 17, 2025 Accepting new patients
Mac Associates LLC Marriage & Family Therapist CurrentSince Sep 15, 2024 Accepting new patients

Locations

13505 S Mur Len Rd
Ste 105
Olathe, KS 66062

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1265973432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15422 S SHANNAN LN",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623382",
            "telephone_number": "913-827-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15422 S SHANNAN LN",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623382",
            "telephone_number": "913-827-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCALLUM",
        "first_name": "MALCOLM GRAHAM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.