Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB RICHARD KALLAN
DeactivatedJACOB RICHARD KALLAN is a Professional Counselor healthcare provider located in FORT COLLINS, Colorado. NPI 1528643848 is deactivated in the NPPES registry. Verify at CMS.
Professional Counselor · FORT COLLINS, CO
This NPI has been deactivated.
The record was deactivated on June 21, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1528643848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2021 (3.2630136986301 yrs)
- Last Updated
- Oct 18, 2024
- Deactivated
- Jun 21, 2024
- License
-
LPC.00020835 (CO)
Practice Information
- Address
-
1024 S LEMAY AVEFORT COLLINS, CO, 805243929Browse CO providers · Browse ZIP 80524
- Phone
- 9704958020
- Fax
- 9704957686
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| LISA M WALLACE | MA, LPC | 1124002571 |
| MR. GARY FARIS | LPC | 1518937549 |
| MRS. ANNE-MARIE G. SUDDRETH | LPCC | 1043288012 |
| MR. THOMAS SUTTON VNUK | MA LPC | 1205896065 |
| JAMES ALFRED SCHULTZ | L.P.C. | 1710948120 |
| DR. MARY L ATWELL | LPC | 1255392726 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.