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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: October 25, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Woodstock Therapist LLC
5.2 mi
Professional
224 W JUDD ST
Woodstock, IL 60098
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1003358037 (815) 345-3400

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

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.

Which organization bills Medicare for Brian Mccallum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Mccallum reassigns Medicare benefits to Woodstock Therapist LLC (Woodstock, IL). 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 Brian Mccallum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Mccallum accept?

Health plans from Oscar Health list Brian 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 Brian Mccallum was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.