BRIAN SMITH MCCALLUM (NPI# 1962775734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962775734 |
| Entity Type | Individual |
| Full Name | BRIAN SMITH MCCALLUM |
| Practice Address |
9414 Route 176 Crystal Lake IL 60014 |
| Mailing Address |
15127 S 73rd Ave Suite G Orland Park IL 60462-4398 |
| Practice Telephone | 8003616880 |
| Mailing Telephone | 8003616880 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 178.005657 | IL | Behavioral Health & Social Service Providers |
| Street Address |
9414 ROUTE 176 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901276 | Jh Counseling Services, LLC | Counselor | 457 Coventry Ln Ste 121, Crystal Lake, IL 60014-7571 | 2020-08-01 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1851784375 | Nicholas Brigagliano | Counselor | 500 Coventry Ln Ste 205, Crystal Lake, IL 60014-7555 | 2015-03-08 |
| 1033750849 | Jennifer Ann Morano | Counselor | 600 Dakota St, Crystal Lake, IL 60012-3742 | 2019-10-02 |
| 1639639826 | Helenn Mcmanaman | Counselor | 600 Dakota St Ste B, Crystal Lake, IL 60012-3742 | 2019-03-22 |
| 1215493176 | Kelly Ann Parise | Counselor | 125 S Virginia St, Crystal Lake, IL 60014-5845 | 2019-02-15 |
| 1154854925 | Ryan Counseling Services Inc. | Counselor | 8600 Us Highway 14, Suite 205b, Crystal Lake, IL 60012-2706 | 2017-04-07 |
| 1215392659 | Madison Beresford | Counselor | 265 Exchange Dr, Suite 101b, Crystal Lake, IL 60014-6230 | 2015-12-30 |
| 1316237530 | Mathers Clinic LLC | Counselor | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2011-04-08 |
| 1942501887 | Nancy Diane Olson | Counselor | 8600 Us Highway 14, Suite C, Crystal Lake, IL 60012-2706 | 2010-11-09 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on BRIAN SMITH MCCALLUM.
| 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.