IndividualActive
Nathaly Kallis, MA, LMHC, CRC
NPI 1235481235 · Mental Health Counselor · St Petersburg, FL
Provider details
- NPI number
- 1235481235
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LMHC, CRC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
970 Lake Carillon Dr
Suite 345
St Petersburg, FL 33716-1129
Phone: (727) 565-3077
Street-level locationGet directions
Mailing address
970 Lake Carillon Dr
St Petersburg, FL 33716-1129
Registry dates
- Enumerated
- 2012-10-15
- Last updated
- 2015-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.