Active NPI
Yolanda McCallum, M. ED & LPC
- Professional Counselor
- Little Rock, AR
National Provider Identifier
1962969386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4 Shackleford PLZ
Little Rock, AR 72211-1826 - Phone
- (501) 350-7306
- NPI assigned
- Feb 21, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A1901014 | AR | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4 Shackleford PLZ
Little Rock, AR 72211-1826
Mailing address
1500 Loyola Dr
Little Rock, AR 72211-6115
Phone (501) 350-7306
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 |
|---|---|---|---|
| A1901014 | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1962969386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LOYOLA DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722116115",
"telephone_number": "501-350-7306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SHACKLEFORD PLZ",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111826",
"telephone_number": "501-350-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLUM",
"first_name": "YOLANDA",
"name_prefix": "Mrs.",
"credential": "M. ED & LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "A1901014",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.