Vicky Schwallier

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC5906T Issued in AZ

Practice address

1680 S 20TH Ave
Safford, AZ 85546-4011

Phone

(928) 428-1377

Fax

(928) 428-6903

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gila Valley Clinic PCGroup PAC ID 4981680683, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gila Valley Clinic, PC

  • Family Medicine Physician
  • Safford, AZ
  • NPI 1255510228
  Medicare reassignment Care Compare group NPD
• Gila Valley Clinic PC

  dba Gila Valley Clinic

  • Rural Health Clinic/Center
  • Safford, AZ
  • NPI 1740767664
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1033608401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-428-1377",
            "fax_number": "928-428-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-428-1377",
            "fax_number": "928-428-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALLIER",
        "first_name": "VICKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC5906T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safford Unified School District 1
• Matthew Sampson, MD
• Korina Schulze
• Peggy Ann Schwallier, R.N.
• Todd Schwallier
• Bryan Scott, FNP
• Gary Victor Scott, D.C.
• Mark R Scott, PA-C
• Lana Louise Selby, F.N.P.
• Robert Keethan Sellers, PMHNP

• Mental Health Counselor in Safford, AZ
• Providers in Safford, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.