Amber Callaway, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1603041 Issued in AR

Practice address

300 N Clifton St
Fordyce, AR 71742-3055

Phone

(870) 352-5122

Fax

(870) 352-5127

NPI assigned

May 13, 2010

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lumina Revenue Cycle Management LLC

  dba Lumina Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Van Buren, AR
  • NPI 1154894954
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  AR

  Medicare reassignment NPD
• BHC Pinnacle Pointe Healthcare

  dba Pinnacle Pointe Outpatient

  • Adolescent and Children Mental Health Clinic/Center
  • Monticello, AR
  • NPI 1508348038
  NPD (past)
• BHC Pinnacle Pointe Hospital, Inc.

  dba The Pointe Outpatient Behavioral Health Services

  • Adolescent and Children Mental Health Clinic/Center
  • Little Rock, AR
  • NPI 1477825180
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1982922035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423055",
            "telephone_number": "870-352-5122",
            "fax_number": "870-352-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423055",
            "telephone_number": "870-352-5122",
            "fax_number": "870-352-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "AMBER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1603041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Brown, PTA
• Stacey Brunson, MHPP
• Daniel Nathan Bryant, PHARMD
• Jenna Bryant, APRN
• Tavante Calhoun, MHPP
• Carr Family Dentistry LLC
• Leslie Marie Cates, PTA
• Cynthia Cayton, MHPP
• Central Ambulance & Medical Services Inc (Cams)
• Charles E Kauffman Jr DDS

• Mental Health Counselor in Fordyce, AR
• Providers in Fordyce, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.