Katherine Edith McCallister, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS 15345 Issued in CA

Practice address

11716 Enterprise Dr
Auburn, CA 95603-3732

Phone

(530) 889-6709

Fax

(530) 889-6735

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1467626150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 ENTERPRISE DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033732",
            "telephone_number": "530-889-6709",
            "fax_number": "530-889-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11716 ENTERPRISE DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033732",
            "telephone_number": "530-889-6709",
            "fax_number": "530-889-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "KATHERINE",
        "middle_name": "EDITH",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 15345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Mays Sr., NRDT
• Morteza Mazloom, D.D.S
• Gary D MC Mullen
• Stacia M McAnally-Butler, CI50190126
• Cameron McCallister, OTR/L
• Cheryl L McClure, OT
• Tara McConnell, MT-BC
• Allison Lacey McCormick, M.D.
• Toni Elaine McCormick, LCSW
• Marguerite Octavia McCoy

• Mental Health Counselor in Auburn, CA
• Providers in Auburn, 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 Apr 15, 2008; 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.