Active NPI
Savannah Galloway, CDCA
- Addiction (Substance Use Disorder) Counselor
- Beachwood, OH
National Provider Identifier
1043080435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 186103
- Practice address
- 23811 Chagrin Blvd Ste 105
Beachwood, OH 44122-5525 - Phone
- (216) 483-1001
- NPI assigned
- Jan 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 186103 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 186103 | OH | Primary |
Addresses
Primary practice location
23811 Chagrin Blvd Ste 105
Beachwood, OH 44122-5525
Mailing address
23811 Chagrin Blvd Ste 105
Beachwood, OH 44122-5525
Phone (216) 483-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039401 | Medicaid | OH |
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 |
|---|---|---|---|
| 186103 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Recovery Counseling | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Beachwood, OH
- NPI 1740936509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1043080435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23811 CHAGRIN BLVD STE 105",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225525",
"telephone_number": "216-483-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23811 CHAGRIN BLVD STE 105",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225525",
"telephone_number": "216-483-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "SAVANNAH",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-05",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "186103",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "186103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0039401",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.