John Chase Callon, ADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADT2211 Issued in MD

Practice address

201 Broadway St Ste 110
Frederick, MD 21701-6696

Phone

(240) 801-7799

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1528639598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LEE PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BROADWAY ST STE 110",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016696",
            "telephone_number": "240-801-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLON",
        "first_name": "JOHN",
        "middle_name": "CHASE",
        "credential": "ADT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "ADT2211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleonor Maria Cabrera, LMSW
• Colleen C Cagle, M.D.
• Rosemarie B Calas, LMT, CKTP
• Joel N Caldwell, CP
• Carolyn Calleo, CRNP-PMH
• Joseph Louis Camacho, DDS
• Sullymar Camacho
• Patrice Camp, LCPC
• Dorian Campbell Temple, M.S., LCPC, MT-BC
• Andrew James Campbell, PH. D., LCPC

• Addiction (Substance Use Disorder) Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.