Aimee Nicole Callicutt, MS, NCC, LCMHC, LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3779 Vest Mill Rd Ste C
Winston Salem, NC 27103-2991

Phone

(336) 303-0006

Fax

(336) 664-8802

NPI assigned

Mar 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Aimee Nicole Callicutt-Keesler Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Triad Counseling & Clinical Service LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensboro, NC
  • NPI 1619988938
  Medicare reassignment NPD

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1649865130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 EASTCHESTER DRIVE",
            "address_2": "SUITE 103, PMB #338",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27262",
            "telephone_number": "336-303-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3779 VEST MILL RD STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032991",
            "telephone_number": "336-303-0006",
            "fax_number": "336-664-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLICUTT",
        "first_name": "AIMEE",
        "middle_name": "NICOLE",
        "credential": "MS, NCC, LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "CALLICUTT-KEESLER",
            "middle_name": "NICOLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erika Borgerding Call, M.D.
• Jodi Shaver Callahan, LPC, LCAS
• Kathryn E. Callahan, M.D.
• Kasey Elizabeth Callaway, PA
• Robin Giddens Callaway, CRNA
• Ryan Matthew Calpin, AGACNP-BC
• Connie L Calvert, DO
• Joseph Hayes Calvert, DO
• Jessica Nicole Camacho Leal, BCBA, LBA
• Gabriel Enrique Cambronero, MD

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.