Jean Ronelle Callihan, LMFT, LISAC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT10226 Issued in AZ

Practice address

2500 E Show Low Lake Rd
Show Low, AZ 85901-7929

Phone

(928) 537-2951

Fax

(928) 537-4841

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1740344993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017929",
            "telephone_number": "928-537-2951",
            "fax_number": "928-537-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017929",
            "telephone_number": "928-537-2951",
            "fax_number": "928-537-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIHAN",
        "first_name": "JEAN",
        "middle_name": "RONELLE",
        "name_prefix": "Ms.",
        "credential": "LMFT, LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT10226",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "919087",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Bryan, MD
• Dennis Andrew Buck, DO
• Aletha Jane Burnette, M.A., CFY-SLP
• Cactus Valley Anesthesia PLC
• Jordan Dale Call, PHARM. D.
• Marcelene Camou, LPCC
• Leslie Campbell
• Clifton Aubrey Carpenter, DDS
• Emily Grace Carreon, IBCLC, LVN
• Center for Sexual and Urinary Function

• All providers in Show Low, AZ
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.