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BRIAN SMITH MCCALLUM
NPI 1962775734
Counselor in Crystal Lake, IL

Active since February 09, 2012PECOS Enrolled
9414 ROUTE 176, CRYSTAL LAKE, IL 60014(800) 361-6880 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Smith Mccallum NPPES

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

BRIAN SMITH MCCALLUM (NPI 1962775734) is an individual counselor in Crystal Lake, Illinois, licensed in Illinois (178.005657) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962775734
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBRIAN SMITH MCCALLUM
Location Address9414 ROUTE 176Crystal Lake, IL 60014
Mailing Address15127 S 73rd Ave, Suite GOrland Park, IL 60462-4398 · (800) 361-6880
Phone(800) 361-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 9, 2012
✔ NPI 1962775734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 178.005657
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
9414 ROUTE 176, Crystal Lake, IL 60014
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Smith Mccallum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860845773
PECOS Enrollment IDI20240126003387
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.

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 Brian Mccallum's NPI number?

The NPI number for Brian Mccallum is 1962775734. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Brian Mccallum located?

Brian Mccallum practices at 9414 Route 176, Crystal Lake, IL 60014. The listed phone number is (800) 361-6880.

What is Brian Mccallum's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Brian Mccallum enrolled in Medicare?

Yes. Brian Mccallum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Mccallum was last updated on February 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.