Individual provider Active NPI

Elizabeth Cleary

  • Mental Health Counselor
  • Havertown, PA
National Provider Identifier
1023347887
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
66 Braeburn Rd
Havertown, PA 19083-2319
Phone
(215) 341-6384
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

66 Braeburn Rd
Havertown, PA 19083-2319

Mailing address

66 Braeburn Rd
Havertown, PA 19083-2319
Phone (215) 341-6384

Other names 1

  • Elizabeth Gallagher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260303000175 PA Practitioner - Mental Health Counselor 7113409962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 Braeburn Rd
Havertown, PA 19083-2319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Wellness, LLC CurrentSince Feb 4, 2026 Accepting new patients

Locations

967 E Swedesford Rd
Ste 100B
Exton, PA 19341
Phone (610) 790-3442

Organizations & group practices 1

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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1023347887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BRAEBURN RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832319",
            "telephone_number": "215-341-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRAEBURN RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832319",
            "telephone_number": "215-341-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GALLAGHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.