Active NPI
Jessica Callahan, LPC-S
- Professional Counselor
- Richardson, TX
National Provider Identifier
1841587110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64186
- Practice address
- 1755 N Collins Blvd
Ste 525
Richardson, TX 75080-3613 - Phone
- (214) 369-5522
- Fax
- (214) 369-5327
- NPI assigned
- Jul 6, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64186 | TX | Primary |
Addresses
Primary practice location
1755 N Collins Blvd
Ste 525
Richardson, TX 75080-3613
Mailing address
1702 N Collins Blvd
Ste 190
Richardson, TX 75080-3566
Phone (469) 662-0607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 16, 2024 through Oct 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64186 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1841587110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 N COLLINS BLVD",
"address_2": "STE 190",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803566",
"telephone_number": "469-662-0607",
"fax_number": "469-248-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N COLLINS BLVD",
"address_2": "STE 525",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803613",
"telephone_number": "214-369-5522",
"fax_number": "214-369-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.