Active NPI
Nan Callan, LMHC
- Mental Health Counselor
- Winter Haven, FL
National Provider Identifier
1386770436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 1910
- Practice address
- 950 1St St S
Suite 205
Winter Haven, FL 33880-3665 - Phone
- (863) 299-8400
- Fax
- (863) 293-4378
- NPI assigned
- Feb 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 1910 | FL | Primary |
Addresses
Primary practice location
950 1St St S
Suite 205
Winter Haven, FL 33880-3665
Mailing address
120 Homewood Dr
Winter Haven, FL 33880-1508
Phone (863) 294-8416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 1910 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386770436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HOMEWOOD DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338801508",
"telephone_number": "863-294-8416",
"fax_number": "863-293-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 1ST ST S",
"address_2": "SUITE 205",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803665",
"telephone_number": "863-299-8400",
"fax_number": "863-293-4378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAN",
"first_name": "NAN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 1910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.