Jill Marie Gallegos, MS, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0017192 Issued in CO

Practice address

5275 Marshall St Ste 101
Arvada, CO 80002-3900

Phone

(303) 596-8738

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1053957407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 MARSHALL ST STE 101",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023900",
            "telephone_number": "303-596-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 MARSHALL ST STE 101",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023900",
            "telephone_number": "303-596-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Arvada",
            "affiliation": "N",
            "endpointDescription": "Company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5275 Marshall St Ste 101",
            "city": "Arvada",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800023900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valeri Gaia Pedraza
• Michael Paul Gailey, D.O.
• Nicole Galanits Ficco
• James H Gallagher, D.D.S, M.S.
• Lori Gallegos-Whipple, LPC
• Sara E Gallo, PA
• Brea Galvin
• Annelise Gambardello, RN
• Graham Gansar, AUD
• Luke Thomas Gansen, PHARMD

• Mental Health Counselor in Arvada, CO
• Providers in Arvada, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.