Active NPI
Kayla Kallay-Gonzalez, M.S.
- Mental Health Counselor
- Utica, NY
National Provider Identifier
1891233151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P05046
- Practice address
- 122 Business Park Dr
Utica, NY 13502-6321 - Phone
- (315) 732-3431
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P05046 | NY | Primary |
Addresses
Primary practice location
122 Business Park Dr
Utica, NY 13502-6321
Mailing address
122 Business Park Dr
Utica, NY 13502-6321
Phone (315) 732-3431
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P05046 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1891233151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 BUSINESS PARK DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135026321",
"telephone_number": "315-732-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 BUSINESS PARK DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135026321",
"telephone_number": "315-732-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLAY-GONZALEZ",
"first_name": "KAYLA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P05046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.