Callie Elizabeth Quillen, B.S. MHA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

296112 Issued in KY

Practice address

915 N Laurel Rd
London, KY 40741-9029

Phone

(606) 864-2104

NPI assigned

Sep 14, 2018

Sex

Female

Sole proprietor

Yes

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 KY

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

Grace Community Health Center, Inc.Group PAC ID 3870654064, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1568625648
  Medicare reassignment Care Compare group NPD
• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1316645344
  NPD
• Cumberland River Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Corbin, KY
  • NPI 1902023526
  NPD (past)
• Grace Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1235659806
  NPD (past)
• Grace Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hyden, KY
  • NPI 1598207557
  NPD (past)
• Grace Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1730609496
  NPD (past)
• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1386139749
  NPD (past)
• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • London, KY
  • NPI 1518555168
  NPD (past)
• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • London, KY
  • NPI 1548818537
  NPD (past)
• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1770066136
  NPD (past)
• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Manchester, KY
  • NPI 1902048481
  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1124501101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 BACON AVE",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012356",
            "telephone_number": "606-304-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407419029",
            "telephone_number": "606-864-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLEN",
        "first_name": "CALLIE",
        "middle_name": "ELIZABETH",
        "credential": "B.S. MHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "296112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PT Pros, Inc.
• Christopher G. Pyles, PT, DPT
• Pyma Medical PLLC
• Pyma Medical, PLLC
• Brad Qashou, MD
• Alyssa Allison Radford, PHARMD
• Amanda Radford, APRN-FNP-C
• Laura Ann Rains, BS
• Prathiba Ram, M.D.
• Lauren Haley Ramsey, SLP

• Professional Counselor in London, KY
• Providers in London, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.
• 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.