Active NPI
Roslyn Mary Gallagher, LCPC
- Professional Counselor
- Great Falls, MT
National Provider Identifier
1013986561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 757 LCPC
- Practice address
- 104-2ND Street S., Ste. 20
Great Falls, MT 59401-3600 - Phone
- (406) 899-0865
- NPI assigned
- Mar 16, 2006
- Last updated
- Feb 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 757 LCPC | MT | Primary |
Addresses
Primary practice location
104-2ND Street S., Ste. 20
Great Falls, MT 59401-3600
Mailing address
104 2ND St S Ste 20
Great Falls, MT 59401-3600
Phone (406) 899-0865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000075378 | Other | MT | BLUE CROSS/SHIELD OF MONT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 757 LCPC | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1013986561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 2ND ST S STE 20",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013600",
"telephone_number": "406-899-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104-2ND STREET S., STE. 20",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013600",
"telephone_number": "406-899-0865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "ROSLYN",
"middle_name": "MARY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "757 LCPC",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SHIELD OF MONT",
"identifier": "0000075378",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.