Active NPI
Daniel J Gallegos, MS, LPC
- Professional Counselor
- Casper, WY
National Provider Identifier
1013258920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1159
- Practice address
- 3395 Micro Rd
Casper, WY 82601-9758 - Phone
- (307) 262-9961
- NPI assigned
- Mar 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1159 | WY | |
| Mental Health Counselor | 101YM0800X | 1159 | WY | |
| Professional Counselor | 101YP2500X | 1159 | WY | Primary |
Addresses
Primary practice location
3395 Micro Rd
Casper, WY 82601-9758
Mailing address
3395 Micro Rd
Casper, WY 82601-9758
Phone (307) 262-9961
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 |
|---|---|---|---|
| 1159 | WY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1013258920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 MICRO RD",
"city": "CASPER",
"state": "WY",
"postal_code": "826019758",
"telephone_number": "307-262-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 MICRO RD",
"city": "CASPER",
"state": "WY",
"postal_code": "826019758",
"telephone_number": "307-262-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "1159",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "1159",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "1159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.