ADIELLA CALLAHAN MED
NPI 1306390448
Counselor - Professional in Fairbanks, AK

Active since August 05, 2016PECOS Enrolled
3550 AIRPORT WAY STE 3, FAIRBANKS, AK 99709(907) 531-5991(907) 921-5098 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adiella Callahan Med NPPES

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

ADIELLA CALLAHAN MED (NPI 1306390448) is an individual professional provider in Fairbanks, Alaska, licensed in Alaska (160419) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairbanks.

NPPES Registry Identity

NPI1306390448
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameADIELLA CALLAHANCredential: MED
Location Address3550 AIRPORT WAY STE 3Fairbanks, AK 99709-4772
Mailing AddressPo Box 71248Fairbanks, AK 99707-1248 · (907) 452-4222
Fax(907) 921-5098
Sole ProprietorNo
Enumeration DateAugust 5, 2016
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1306390448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · 160419
3550 AIRPORT WAY STE 3, Fairbanks, AK 99709

Secondary Practice Location 1

Location 1710 3rd AveFairbanks, AK 99701-4455 · Phone (907) 452-4222 ext. 113 · Fax (907) 452-8176

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adiella Callahan Med is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Adiella Callahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
3550 AIRPORT WAY STE 3
Fairbanks, AK 99709
  • Reassigned Medicare billing, Alaska enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3550 AIRPORT WAY STE 3
FAIRBANKS, AK 99709
Counselor (Professional)
3550 AIRPORT WAY STE 3
FAIRBANKS, AK 99709
Counselor (Professional)
3550 AIRPORT WAY STE 3
FAIRBANKS, AK 99709
Counselor (Professional)
3550 AIRPORT WAY STE 3
FAIRBANKS, AK 99709
Counselor (Professional)
3550 AIRPORT WAY STE 3
FAIRBANKS, AK 99709
Counselor (Professional)
3550 AIRPORT WAY STE 3
FAIRBANKS, AK 99709
Clinic/Center (Mental Health (Including Community Mental Health Center))
3550 AIRPORT WAY STE 3
FAIRBANKS, AK 99709
Counselor (Professional)
3550 AIRPORT WAY STE 3
FAIRBANKS, AK 99709

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 Adiella Callahan's NPI number?

The NPI number for Adiella Callahan is 1306390448. It was assigned to this individual provider in the NPPES registry on August 5, 2016.

Where is Adiella Callahan located?

Adiella Callahan practices at 3550 Airport Way Ste 3, Fairbanks, AK 99709. The listed phone number is (907) 531-5991.

What is Adiella Callahan's specialty?

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

Is Adiella Callahan enrolled in Medicare?

Yes. Adiella Callahan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adiella Callahan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adiella Callahan reassigns Medicare benefits to Counseling Collective Of Alaska LLC (Fairbanks, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adiella Callahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adiella Callahan accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Adiella Callahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adiella Callahan was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.