Active NPI
Patrick Gallagher, MS, LPC
- Professional Counselor
- York, PA
National Provider Identifier
1063453496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC000262
- Practice address
- 1101 Edgar St
Suite a
York, PA 17403-2862 - Phone
- (717) 851-1500
- Fax
- (717) 851-1515
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- 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 | PC000262 | PA | |
| Professional Counselor | 101YP2500X | PC000262 | PA | Primary |
Addresses
Primary practice location
1101 Edgar St
Suite a
York, PA 17403-2862
Mailing address
3550 Concord Rd
York, PA 17402-8626
Phone (717) 851-6340
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50049351 | Other | PA | CAPITAL BLUE CROSS |
| 646189-01 | Other | PA | BC/BS OF MD CARE FIRST |
| 2236896 | Other | PA | CIGNA BEHAVIORAL HEALTH |
| 801955000 | Other | PA | MAGELLAN |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC000262 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1063453496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174028626",
"telephone_number": "717-851-6340",
"fax_number": "717-851-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 EDGAR ST",
"address_2": "SUITE A",
"city": "YORK",
"state": "PA",
"postal_code": "174032862",
"telephone_number": "717-851-1500",
"fax_number": "717-851-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "PATRICK",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC000262",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC000262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50049351",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MD CARE FIRST",
"identifier": "646189-01",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2236896",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "801955000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.