Jessica Joan Callahan, L.C.P.C.
Individual provider Active NPI Professional Counselor · Manhattan, IL
NPI 1962778068 · NPPES record last updated Mar 22, 2012
Key facts
- NPI
- 1962778068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.007876 (IL)
- Practice address
- 310 Kay St
Manhattan, IL 60442-9278 - Phone
- (815) 474-9647
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.007876 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.007876 | IL | Yes |
Addresses
Primary practice location
310 Kay St
Manhattan, IL 60442-9278
Mailing address
310 Kay St
Manhattan, IL 60442-9278
Phone (815) 474-9647
Other providers in Manhattan, IL
- Katherine Barkei
- Better Life Counseling LLC
- Anja Bieschke
- Bright Light Kids, LLC
- Lindsey Brushaber
- John Campbell
- Kelly M Casey
- Lisa Christel
- Christian E Foltys DDS PC
- Michelle M Ciabattari
All providers in Manhattan, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.