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JACLYN CALLAHAN MA, LMHC
NPI 1194995027
Counselor - Professional in Bellevue, WA

Active since March 06, 2008Opted out of Medicare · through Jan 31, 2028
13401 NE BEL RED RD, BELLEVUE, WA 98005(206) 350-7506 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaclyn Callahan Ma, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN CALLAHAN MA, LMHC (NPI 1194995027) is an individual professional provider in Bellevue, Washington, licensed in Washington (LH60603740) and active in the NPI registry since March 2008. She has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1194995027
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACLYN CALLAHANCredential: MA, LMHC
Location Address13401 NE BEL RED RDBellevue, WA 98005-2322
Mailing Address13401 Ne Bel Red Rd Ste B12Bellevue, WA 98005-2322 · (206) 350-7506
Phone(206) 350-7506
Sole ProprietorNo
Enumeration DateMarch 6, 2008
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1194995027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WA · LH60603740✔ Licensed in TX · 63826
13401 NE BEL RED RD, Bellevue, WA 98005
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Other Names 1

Former Name (1)Jaclyn Pentecost Lpc-i

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jaclyn Callahan Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024
Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Callahan's NPI number?

The NPI number for Jaclyn Callahan is 1194995027. It was assigned to this individual provider in the NPPES registry on March 6, 2008. The provider is also known as Jaclyn Pentecost Lpc-I.

Where is Jaclyn Callahan located?

Jaclyn Callahan practices at 13401 NE Bel Red Rd, Bellevue, WA 98005. The listed phone number is (206) 350-7506.

What is Jaclyn Callahan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jaclyn Callahan enrolled in Medicare?

No. Jaclyn Callahan has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jaclyn Callahan was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.