Organization Active NPI

Gallup Child and Family Counseling

  • Professional Counselor
  • Gallup, NM
National Provider Identifier
1043601313
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GALLUP CHILD AND FAMILY COUNSELING
Practice address
213 W Mesa Ave
Gallup, NM 87301-6335
Phone
(505) 862-9776
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Elizabeth A. Terrill, LPCC
Title
Owner and Mental Health Counselor
Phone
(505) 862-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

213 W Mesa Ave
Gallup, NM 87301-6335

Mailing address

213 W Mesa Ave
Gallup, NM 87301-6335
Phone (505) 862-9776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1043601313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W MESA AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016335",
            "telephone_number": "505-862-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W MESA AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016335",
            "telephone_number": "505-862-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUP CHILD AND FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "TERRILL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER AND MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "505-862-9776",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.