Harley V Gullett, ACSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000440 Issued in MO

Practice address

100 S Prewitt St
Nevada, MO 64772-1760

Phone

(417) 667-8700

Fax

(417) 667-7382

NPI assigned

Nov 30, 2005

Sex

Male

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 MO

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

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.

• Full Health Wellness Systems

  • Adult Mental Health Clinic/Center
  • Nevada, MO
  • NPI 1942865878
  Medicare reassignment NPD
• Allied Mental Health Associates, Inc.

  • Professional Counselor
  • Nevada, MO
  • NPI 1144205527

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265416770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S PREWITT ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721760",
            "telephone_number": "417-667-8700",
            "fax_number": "417-667-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PREWITT ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721760",
            "telephone_number": "417-667-8700",
            "fax_number": "417-667-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLETT",
        "first_name": "HARLEY",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "ACSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Plains Hospital Inc
• Great Plains Hospital Inc
• Renee Sydney Pendleton Gregory, APRN, PMHNP-BC
• Debra Ann Griggs, M.S.
• Frederick Guenther, D.C.
• Randall Wayne Gulliford, CPS, CSS, MAADC1
• John F Hagy, PH.D.
• Kathy J Hallam, RN
• Emily Elizabeth Hammock, LPC
• David Hancock, LPC

• Clinical Social Worker in Nevada, MO
• Providers in Nevada, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.