Individual provider Active NPI

Amanda Marie Galloway, LCMHC

  • Mental Health Counselor
  • Berlin, VT
National Provider Identifier
1013699412
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0135371 Issued in VT
Practice address
286 Hospital Loop
Berlin, VT 05602-9523
Phone
(802) 229-0591
Fax
(802) 223-3667
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Mental Health Counselor 101YM0800X 068.0135371 VT Primary

Addresses

Primary practice location

286 Hospital Loop
Berlin, VT 05602-9523

Mailing address

PO Box 647
Montpelier, VT 05601-0647
Phone (802) 229-0591

Other practice location 1

260 Beckley Hill Rd
Barre, VT 05641-9080
Phone (802) 476-1480

Other practice location 2

34 Barre St
Montpelier, VT 05602-3510
Phone (802) 301-3200

Other practice location 3

23 Summer St
Barre, VT 05641-3741
Phone (802) 479-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240106000218 VT Practitioner - Mental Health Counselor 2567813231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Mental Health Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Washington County Mental Health Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

23 Summer St
Barre, VT 05641
Phone (802) 479-4055

260 Beckley Hill Rd
Barre, VT 05641
Phone (802) 476-1480

174 Hospital Loop
Berlin, VT 05602
Phone (802) 223-6328

286 Hospital Loop
Berlin, VT 05602
Phone (802) 223-1527

34 Barre St
Montpelier, VT 05602
Phone (802) 301-3200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1013699412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-229-0591",
            "fax_number": "802-223-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029523",
            "telephone_number": "802-229-0591",
            "fax_number": "802-223-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Beckley Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "VT",
            "postal_code": "056419080",
            "country_code": "US",
            "telephone_number": "802-476-1480",
            "fax_number": "802-479-4095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Barre St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056023510",
            "country_code": "US",
            "telephone_number": "802-301-3200",
            "fax_number": "802-223-0842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Summer St",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "VT",
            "postal_code": "056413741",
            "country_code": "US",
            "telephone_number": "802-479-4055",
            "fax_number": "802-661-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.