Individual provider Active NPI

Cally Skalko

  • Mental Health Counselor
  • Gilbert, AZ
National Provider Identifier
1629472592
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17795 Issued in AZ
Practice address
1425 W Elliot Rd Ste 201
Gilbert, AZ 85233-5142
Phone
(480) 223-0225
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5377149 AZ
Mental Health Counselor 101YM0800X 17795 AZ Primary

Addresses

Primary practice location

1425 W Elliot Rd Ste 201
Gilbert, AZ 85233-5142

Mailing address

2090 S Heron LN
Gilbert, AZ 85295-6151
Phone (480) 320-9493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17795AZMDMental Health Counselor
5377149AZMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Counselors, LLC Mental Health PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1629472592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 S HERON LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956151",
            "telephone_number": "480-320-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W ELLIOT RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335142",
            "telephone_number": "480-223-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALKO",
        "first_name": "CALLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "5377149",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "17795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.