JOHN B CALLAHAN (NPI# 1003061045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003061045 |
| Entity Type | Individual |
| Full Name | JOHN B CALLAHAN |
| Credential | BSW, MPA, CCM |
| Practice Address |
100 Eighth St N Carolina Beach NC 28428 |
| Mailing Address |
Po Box 540 Carolina Beach NC 28428-0540 |
| Practice Telephone | 9107073821 |
| Mailing Telephone | 9107073821 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 171W00000X | Contractor | Other Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | 4236690 | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMISSION FOR CASE MANAGER CERTIFICATION | 4236690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497097885 | John T Callahan | Pharmacist | 5645 Jarman St, Colorado Springs, CO 80906-8209 | 2013-03-23 |
| 1336152750 | John Callahan | Family Medicine | 328 Kennedy Blvd, Pittston, PA 18640-1704 | 2006-08-15 |
| 1588646962 | John H Callahan | Physician Assistant | 17 Strauss Ave, Indian Head Division, Indian Head, MD 20640-1523 | 2005-11-18 |
| 1861496804 | John Thomas Callahan | Podiatrist | 2235 Mission St Se, Ste 150, Salem, OR 97302-1294 | 2005-06-08 |
| 1306345772 | John Callahan | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-02-12 |
| 1851704480 | John Michael Callahan | Pediatrics | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2014-06-11 |
| 1750689303 | John F Callahan | Occupational Therapy Assistant | 20 Maitland St, Concord, NH 03301 | 2011-03-07 |
| 1609092600 | John Patrick Callahan | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2007-04-18 |
| 1043347438 | John D. Callahan Jr. | Dentist | 300 S Manlius St, Fayetteville, NY 13066-2041 | 2007-02-27 |
| 1700959921 | John Joseph Callahan | Social Worker | 2002 Route 17m, Suite 8, Goshen, NY 10924-5235 | 2006-11-16 |
| Street Address |
100 EIGHTH ST N |
| City | CAROLINA BEACH |
| State | NC |
| Zip Code | 28428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457833402 | Cornerstone Care Coordination, LLC | Case Manager/Care Coordinator | 100 Eighth St N, Carolina Beach, NC 28428-4347 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235682022 | Pleasure Island Health | Nurse Practitioner | 1328 North Lake Park Blvd Ste 102, Carolina Beach, NC 28428 | 2016-07-27 |
| 1497151625 | Brianna Noelle Walter | Counselor | 1328 Lake Park Blvd N Ste 109, Carolina Beach, NC 28428 | 2014-11-17 |
| 1649365099 | Amanda Dixon Cerqueira | Dentist | 1328 N. Lake Blvd, Suite 107, Carolina Beach, NC 28428 | 2006-10-03 |
| 1104929884 | North Carolina Cvs Pharmacy LLC | Pharmacy | 901 Dow Rd, Carolina Beach, NC 28428 | 2006-09-07 |
| 1184635302 | Vincent Robert Smith | Dentist | 1300 Bridge Barrier Rd, Carolina Beach, NC 28428 | 2006-08-11 |
| 1972029320 | Kaitlin Sledge Maertz | Speech-Language Pathologist | 105 Florida Ave, Carolina Beach, NC 28428 | 2017-08-17 |
| 1033557665 | Carolina Beach Counseling, LLC | Psychiatry & Neurology | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428 | 2013-06-05 |
| 1720253784 | Wilmington Health Pllc | Specialist | 1300 Bridge Barrier Rd, Suite 2, Carolina Beach, NC 28428 | 2008-04-29 |
| 1639776362 | Olga O Orraca | Acupuncturist | 1328 Lake Park Blvd N Ste 106b, Carolina Beach, NC 28428-3906 | 2020-10-06 |
| 1063052561 | Donald Russel Crawford Iv | Nurse Practitioner | 1328 Lake Park Blvd N Ste 102, Carolina Beach, NC 28428-3906 | 2020-01-13 |
| Find all providers in zip 28428 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457833402 | Cornerstone Care Coordination, LLC | Case Manager/Care Coordinator | 100 Eighth St N, Carolina Beach, NC 28428-4347 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000976 | Jamel Jones | Case Manager/Care Coordinator | 107 Davelin Pl, Goldsboro, NC 27530-4507 | 2020-10-12 |
| 1043821952 | Tracy Simerson | Case Manager/Care Coordinator | 9021 Duval Hill St, Raleigh, NC 27603-7522 | 2020-08-13 |
| 1104449164 | Yolanda Lynn Simpson | Case Manager/Care Coordinator | 559 Foster Rd, Yanceyville, NC 27379-8914 | 2020-05-26 |
| 1487274064 | J'aunie Y Mcrae-knight | Case Manager/Care Coordinator | 2037 Mlk Jr Dr, Greensboro, NC 27406-3314 | 2020-04-23 |
| 1144849597 | Barbara Denise Gaskins | Case Manager/Care Coordinator | 719 W 15th St Ste 727, Washington, NC 27889-3667 | 2020-04-15 |
| 1386273894 | Human Coalition | Case Manager/Care Coordinator | 4237 Louisburg Rd Ste 105, Raleigh, NC 27604-4348 | 2020-04-06 |
| 1275172298 | Kelsy Timas | Case Manager/Care Coordinator | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2019-12-23 |
| 1972153328 | Monida Fields | Case Manager/Care Coordinator | 4845 Ashley Park Ln Apt 220, Charlotte, NC 28210-4134 | 2019-09-18 |
| 1245884196 | Mildred Hopkins | Case Manager/Care Coordinator | 507 1st St, Spring Hope, NC 27882-9342 | 2019-07-30 |
| 1972167302 | Wfic | Case Manager/Care Coordinator | 811 Wesley Dr, Salisbury, NC 28146-2257 | 2019-05-01 |
| Find all providers with the same taxonomy | ||||
| City | CAROLINA BEACH |
| Zip Code | 28428 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.