Individual provider Active NPI

Casey Carney Gallagher, LMHC

  • Mental Health Counselor
  • East Providence, RI
National Provider Identifier
1033433768
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00737 Issued in RI
Practice address
400 Warren Ave Ste 2L-a
East Providence, RI 02914-3826
Phone
(401) 305-0080
Fax
(401) 574-2033
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 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 MHC00737 RI Primary

Addresses

Primary practice location

400 Warren Ave Ste 2L-a
East Providence, RI 02914-3826

Mailing address

400 Warren Ave Ste 2L-a
East Providence, RI 02914-3826
Phone (401) 305-0080

Other identifiers 1

IdentifierTypeStateIssuer
1033433768MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240208002502 RI Practitioner - Mental Health Counselor 4486097276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carelink, Inc. Current Accepting new patients
Taylor Health Enterprises, LLC Mental Health CurrentSince Sep 5, 2023 Accepting new patients
Covid Test Ri CurrentSince Sep 5, 2023 Accepting new patients

Locations

400 Massasoit Ave
Ste 113
East Providence, RI 02914
Phone (401) 490-4610

400 Massasoit Ave
Ste 300B
East Providence, RI 02914

400 Warren Ave
Ste 2LA
East Providence, RI 02914
Phone (401) 305-0080

Organizations & group practices 3

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1033433768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE STE 2L-A",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143826",
            "telephone_number": "401-305-0080",
            "fax_number": "401-574-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE STE 2L-A",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143826",
            "telephone_number": "401-305-0080",
            "fax_number": "401-574-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "CASEY",
        "middle_name": "CARNEY",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033433768",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.