JODI SHAVER CALLAHAN LPC, LCAS
NPI 1386915148
Counselor - Mental Health in Winston Salem, NC

Q: What is Jodi Callahan's NPI number?

The NPI number for Jodi Callahan is 1386915148. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Q: What is Jodi Callahan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jodi Callahan was last updated on September 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 25, 2012PECOS Enrolled

175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 718-3550 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2024, Oct 26, 2020, Jul 22, 2019 and 1 more (4 updates tracked since 2019).

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About Jodi Shaver Callahan Lpc, Lcas NPPES

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

JODI SHAVER CALLAHAN LPC, LCAS (NPI 1386915148) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (9585) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1386915148

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJODI SHAVER CALLAHANCredential: LPC, LCAS

Location Address175 KIMEL PARK DR STE 100Winston Salem, NC 27103-6951

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 718-3550 · Fax (336) 277-6981

Phone(336) 718-3550

Sole ProprietorNo

Enumeration DateJanuary 25, 2012

Last NPPES UpdateSeptember 20, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1386915148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 9585

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 3063 (NC)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 9585 (NC)

175 KIMEL PARK DR STE 100, Winston Salem, NC 27103

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Secondary Practice Location 1

Location 1284 EXECUTIVE PARK DRIVE, SUITE 100CONCORD, NC 28025-1894 · Phone (704) 939-1100 · Fax (704) 939-1173

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi Shaver Callahan Lpc, Lcas 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.

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Other Providers at the Same Location NPPES 20

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

MS. MINDY PARIS FRANCE NCC, LPC

Counselor (Professional)