Individual provider Active NPI

Jeffrey Michael Galecki, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1013330158
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC5512 Issued in MD
Practice address
2117 Maryland Ave
Baltimore, MD 21218-5614
Phone
(443) 449-2932
NPI assigned
Jan 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC5512 MD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA2059 MD

Addresses

Primary practice location

2117 Maryland Ave
Baltimore, MD 21218-5614

Mailing address

2117 Maryland Ave
Baltimore, MD 21218-5614
Phone (410) 837-4292

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

State licenses

LicenseStateTypeSpecialty
LCA2059MDMDAddiction (Substance Use Disorder) Counselor
LC5512MDMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1013330158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-837-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "443-449-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALECKI",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-25",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5512",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA2059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.