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JESSICA MCCALLUM MA, LAC, NCC
NPI 1881204014
Counselor - Mental Health in Avondale, AZ

Active since August 03, 2020PECOS EnrolledAccepts Medicare Assignment
506 E WESTERN AVE STE 104, AVONDALE, AZ 85323(602) 230-7373(480) 629-8577 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 19, 2023, Aug 3, 2020 (2 updates tracked since 2020).

About Jessica Mccallum Ma, Lac, Ncc NPPES

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

JESSICA MCCALLUM MA, LAC, NCC (NPI 1881204014) is an individual mental health provider in Avondale, Arizona, licensed in Arizona (LAC-18234) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sedona, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1881204014
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA MCCALLUMCredential: MA, LAC, NCC
Location Address506 E WESTERN AVE STE 104Avondale, AZ 85323-2422
Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373
Phone(602) 230-7373
Fax(480) 629-8577
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2016
Enumeration DateAugust 3, 2020
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1881204014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-18234
506 E WESTERN AVE STE 104, Avondale, AZ 85323
Open in Google Maps ↗

Secondary Practice Location 1

Location 15000 E Bill Gray RdSedona, AZ 86336-9178 · Phone (928) 301-8892

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Mccallum Ma, Lac, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921450891
PECOS Enrollment IDI20240116002918
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 Reassignments

2

Medicare enrollment records show Jessica Mccallum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Denova Collaborative Health, LLC
Same address
Multi-Specialty
506 E WESTERN AVE STE 104
Avondale, AZ 85323
  • Reassigned Medicare billing, Arizona enrollment
  • 282 clinicians in this Medicare group
NPI 1689153769 (602) 230-7373
Sailor Health Medical PA
1,994 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Arizona enrollment
  • 27 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333

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 20

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

STEPHANIE CHIEL LPC
Counselor (Professional)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
KATHERINE RASMUSSEN LCSW
Social Worker (Clinical)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
DR. KRISTA DEANN PELLICORE M.D.
Family Medicine
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
LARISSA WRIGHT LCSW
Social Worker (Clinical)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
DR. MICHELLE ILIESCU DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
HAYDAR HASAN PA-C
Physician Assistant
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
SOPHIA ESPINOZA SAAVEDRA LPC
Counselor (Professional)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373
ELISHA A. MONTGOMERY LCSW
Social Worker (Clinical)
506 E WESTERN AVE STE 104
AVONDALE, AZ 85323
Maricopa County (602) 230-7373

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 Jessica Mccallum's NPI number?

The NPI number for Jessica Mccallum is 1881204014. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Jessica Mccallum located?

Jessica Mccallum practices at 506 E Western Ave Ste 104, Avondale, AZ 85323. The listed phone number is (602) 230-7373.

What is Jessica Mccallum's specialty?

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

Is Jessica Mccallum enrolled in Medicare?

Yes. Jessica Mccallum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Mccallum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mccallum reassigns Medicare benefits to 2 organizations: Denova Collaborative Health, LLC (Avondale, AZ) and Sailor Health Medical PA (Coral Gables, FL). Each 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 Jessica Mccallum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Mccallum accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Jessica Mccallum 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 Jessica Mccallum was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.