JOSEPH P. SKELLY (M.S., L.M.H.C.) – Mental Health Counselor, NPI 1417901133

Mental Health Counselor

JOSEPH P. SKELLY (M.S., L.M.H.C.) is a healthcare provider. based in Mary esther, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S., L.M.H.C.. They hold a License No. MH0003140 (FL). The NPI Number for JOSEPH P. SKELLY (M.S., L.M.H.C.) is 1417901133

Main info

Male

35 Years Of Experience

Accepts Medicare Assignment

Name

JOSEPH P. SKELLY (M.S., L.M.H.C.)

NPI

1417901133

Phone

(850) 862-6030

Address

151 MARY ESTHER BLVD

Enumeration Date

19 May 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8508626030

Graduation Year

1991 (35 years ago)

PAC ID

0648228916

Group Practice PAC ID

5395793665

Professional Enrollment ID

I20240206004840

Address ID

FL325691972MA151XXBLVD401

Telehealth

Yes

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

3,020 MENTAL HEALTH COUNSELOR in FL

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Provider Addresses for JOSEPH P. SKELLY (M.S., L.M.H.C.)

151, Mary Esther Boulevard, Mary Esther, Okaloosa County, Florida, 32569, United States
SUITE 201
MARY ESTHER, FL 325691972
Phone: (850) 862-6030
Fax: (850) 862-6030
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240206004840	I	Mental Health Counselor	FL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32569)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5395793665View full group profile

Name	Specialty	State
MR. CHRISTOPHER HAROLD JR. CARNLEY (MS, LMHC)	Mental Health Counselor	FL

Reviews

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Frequently asked questions

How is JOSEPH P. SKELLY (M.S., L.M.H.C.) identified in CMS data?

CMS-hosted NPPES data lists JOSEPH P. SKELLY (M.S., L.M.H.C.) with NPI 1417901133.

Can I rely on JOSEPH P. SKELLY (M.S., L.M.H.C.) being an active provider?

As of the registry snapshot, JOSEPH P. SKELLY (M.S., L.M.H.C.) is marked active.

What healthcare role does JOSEPH P. SKELLY (M.S., L.M.H.C.) hold?

Scheduling teams often label JOSEPH P. SKELLY (M.S., L.M.H.C.) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.

Where is JOSEPH P. SKELLY (M.S., L.M.H.C.) based?

JOSEPH P. SKELLY (M.S., L.M.H.C.) is tied to Mary Esther, Florida in the data we show; additional addresses may exist on the full record.

Why does JOSEPH P. SKELLY (M.S., L.M.H.C.) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.