Active NPI
Stewart Callahan, LPC
- Professional Counselor
- Mechanicsville, VA
National Provider Identifier
1851484869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001215
- Practice address
- 7374 Creighton Pkwy
Mechanicsville, VA 23111-4513 - Phone
- (804) 365-6760
- Fax
- (804) 365-6779
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0701001215 | VA | Primary |
Addresses
Primary practice location
7374 Creighton Pkwy
Mechanicsville, VA 23111-4513
Mailing address
12300 Washington Hwy
Ashland, VA 23005-7646
Phone (804) 365-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O89430 | Other | VA | SENTARA PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001215 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover County Board of Supervisors | Past | Accepting new patients | |
| Hanover County Board of Supervisors | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851484869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 WASHINGTON HWY",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057646",
"telephone_number": "804-365-4222",
"fax_number": "804-365-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7374 CREIGHTON PKWY",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231114513",
"telephone_number": "804-365-6760",
"fax_number": "804-365-6779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "STEWART",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA PROVIDER NUMBER",
"identifier": "O89430",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.