Active NPI
Cale E McGillvray, LPC, LMFT
- Professional Counselor
- Bald Knob, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1611178
- Practice address
- 178 Highway 167 N
Bald Knob, AR 72010-4058 - Phone
- (501) 724-6207
- Fax
- (501) 724-3305
- NPI assigned
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M1612010 | AR | |
| Professional Counselor | 101YP2500X | P1611178 | AR | Primary |
Addresses
Primary practice location
178 Highway 167 N
Bald Knob, AR 72010-4058
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870
Phone (870) 933-6886
Other practice location 1
1507 E. Race St.
Searcy, AR 72143-4661
Phone (501) 305-2359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227623719 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1611178 | AR | MD | Professional Counselor |
| M1612010 | AR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Families, Inc of Arkansas | Mental Health | Current | Accepting new patients |
| Families, Inc of Arkansas | Current | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
178 Highway 167 N
Bald Knob, AR 72010
Phone (501) 724-6207
1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886
2126 N 1st St
Ste F
Little Rock AFB, AR 72076
Phone (501) 982-5000
1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jonesboro, AR
- NPI 1770535569
-
- Federally Qualified Health Center (FQHC)
- West Memphis, AR
- NPI 1215523931
-
- Federally Qualified Health Center (FQHC)
- Augusta, AR
- NPI 1275635542
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ash Flat, AR
- NPI 1174613939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1124455225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 PLEASANT GROVE RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017870",
"telephone_number": "870-933-6886",
"fax_number": "870-933-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 HIGHWAY 167 N",
"city": "BALD KNOB",
"state": "AR",
"postal_code": "720104058",
"telephone_number": "501-724-6207",
"fax_number": "501-724-3305"
}
],
"practiceLocations": [
{
"address_1": "1507 E. Race St.",
"address_purpose": "LOCATION",
"city": "Searcy",
"state": "AR",
"postal_code": "721434661",
"country_code": "US",
"telephone_number": "501-305-2359",
"fax_number": "501-305-2348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGILLVRAY",
"first_name": "CALE",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-03",
"last_updated": "2024-05-31",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AR",
"license": "M1612010",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1611178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227623719",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bald Knob, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.