Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Callie Elizabeth Quillen, BSMHA

Individual provider Professional Counselor · NPI 1124501101

Callie Elizabeth Quillen, BSMHA is a Mental Health Counselor in London, Kentucky. Qualified in 2021, 5 years ago. Practices with Grace Community Health Center, Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2018
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Practice location Address checks out

915 N Laurel Rd
London, KY 40741-9029
Phone: (606) 864-2104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 296112 (KY)

Record details

NPI number1124501101
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSMHA
Sole proprietorYes
NPI enumeratedSeptember 14, 2018
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Grace Community Health Center, Inc. — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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