JODI SHAVER CALLAHAN


Address: 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951
Phone: 3367183550

JODI SHAVER CALLAHAN (NPI# 1386915148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386915148
Entity Type Individual
Full Name JODI SHAVER CALLAHAN
Credential LPC, LCAS
Practice Address 175 Kimel Park Dr Ste 100
Winston Salem
NC 27103-6951
Mailing Address Po Box 751803
Charlotte
NC 28275-1803
Practice Telephone 3367183550
Mailing Telephone 3367183550
Mailing Fax Number 3362776981
Enumeration Date 2012-01-25
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
3063 NC Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
9585 NC Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
284 Executive Park Drive, Suite 100, Concord, NC 280251894 7049391100 7049391173

Office Location

Street Address 175 KIMEL PARK DR STE 100
City WINSTON SALEM
State NC
Zip Code 27103-6951

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740220748 Cheri Jeannette Evans Social Worker 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 2006-06-07
1861033946 Matthew Eric Millington Physician Assistant 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103 2019-09-30
1932750833 Alice I Barclay Social Worker 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 2019-09-23
1144880279 Alison Bridges Russo Social Worker 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 2019-06-20
1508350349 Forsyth Memorial Hospital Inc Psychiatry & Neurology 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 2018-06-15
1336650332 Samuel Mcginnis Counselor 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 2017-10-17
1629444229 Amanda Rose Wentz Social Worker 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103 2015-08-18
1013242338 Mindy Paris France Counselor 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 2009-10-04
1942485974 Mari Allison Young Counselor 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 2008-01-09
1336167576 Millicent Johnson Shadden Social Worker 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 2006-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215566385 Sherrie Nicole Fogg Counselor 215 Braeburn Dr, Winston Salem, NC 27127-4691 2020-04-02
1831721968 Olivia Henderson Smith Counselor 1 Medical Center Blvd 5th Floor Watlington Hall, Winston Salem, NC 27157-0001 2020-02-06
1578110805 Elevation Counseling Services Pllc Counselor 1922 S Martin Luther King Jr Dr Ste 27, Winston Salem, NC 27107-1361 2019-08-21
1356900898 Kendal Simeon Brown Counselor 4830 Tutelo Trl, Winston Salem, NC 27127-9419 2019-06-09
1497216667 Larry Lamont Joe Jr. Counselor 1348 Westgate Center Dr Ste 204, Winston Salem, NC 27103-2984 2019-03-28
1558829994 Esther Fredrica Dixon Counselor 326 N Spring St, Winston Salem, NC 27101-2722 2019-03-05
1609383736 Stephanie Gimenez Counselor 163 Stratford Ct Ste 225, Winston Salem, NC 27103-1836 2018-01-10
1194239665 Brandon Andre Jevon James Counselor 1922 S Martin Luther King Jr Dr Ste 225, Winston Salem, NC 27107-1361 2017-11-20
1417484304 Jessica Lynn Vaughn Counselor 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103 2017-05-22
1316472475 Wendy Marshall Counselor 5078 Leeshire Way, Winston Salem, NC 27106-1870 2017-04-26
Find all providers in WINSTON SALEM

Competitor

Search similar providers

City WINSTON SALEM
Zip Code 27103

Improve Information

Please comment or provide details below to improve the information on JODI SHAVER CALLAHAN.

Dataset Information

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.

Trending Searches