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CALLY LYNN TILLY LPC
NPI 1104441088
Counselor - Professional in Fort Worth, TX

Active since June 16, 2020PECOS Enrolled
1616 PARK PLACE AVE, FORT WORTH, TX 76110(817) 921-2401(817) 921-2401 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cally Lynn Tilly Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLY LYNN TILLY LPC (NPI 1104441088) is an individual professional provider in Fort Worth, Texas, licensed in Texas (79894) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104441088
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCALLY LYNN TILLYCredential: LPC
Location Address1616 PARK PLACE AVEFort Worth, TX 76110-1377
Mailing Address1616 Park Place AveFort Worth, TX 76110-1377 · (817) 921-2401 · Fax (817) 921-2401
Phone(817) 921-2401
Fax(817) 921-2401
Sole ProprietorNo
Enumeration DateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1104441088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 79894
1616 PARK PLACE AVE, Fort Worth, TX 76110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cally Lynn Tilly Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCOISE MARCELLE SEYMORE LPC
Counselor (Professional)
1616 PARK PLACE AVE
FORT WORTH, TX 76110
Tarrant County (817) 921-2401
LAUREN DURIO LPC
Counselor (Professional)
1616 PARK PLACE AVE
FORT WORTH, TX 76110
Tarrant County (871) 921-2401
ELIZABETH KAY CONLEY LPC
Counselor (Professional)
1616 PARK PLACE AVE
FORT WORTH, TX 76110
Tarrant County (817) 921-2401
ANNE BRIGGS
Counselor (Professional)
1616 PARK PLACE AVE
FORT WORTH, TX 76110
Tarrant County (817) 921-2401
RACHEL BROWN NASH LPC
Counselor (Professional)
1616 PARK PLACE AVE
FORT WORTH, TX 76110
Tarrant County (817) 921-2401
LESLIE MURTISHAW-CASTRO LPC
Counselor (Professional)
1616 PARK PLACE AVE
FORT WORTH, TX 76110
Tarrant County (817) 921-2401
JANE PITTMAN AVILA LCSW
Social Worker (Clinical)
1616 PARK PLACE AVE
FORT WORTH, TX 76110
Tarrant County (817) 921-2401
LAURA GERSTLE LPC
Counselor (Professional)
1616 PARK PLACE AVE
FORT WORTH, TX 76110
Tarrant County (817) 921-2401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cally Tilly's NPI number?

The NPI number for Cally Tilly is 1104441088. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Cally Tilly located?

Cally Tilly practices at 1616 Park Place Ave, Fort Worth, TX 76110. The listed phone number is (817) 921-2401.

What is Cally Tilly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cally Tilly enrolled in Medicare?

Yes. Cally Tilly is registered in the Medicare PECOS enrollment system.

What insurance does Cally Tilly accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Cally Tilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cally Tilly was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.