Active NPI
James Gallegos, MFT
- Marriage & Family Therapist
- Arlington, WA
National Provider Identifier
1073651998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 49883
- Practice address
- 16404 Smokey Point Blvd Ste 102B
Arlington, WA 98223-8417 - Phone
- (425) 943-9110
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61338799 | WA | |
| Marriage & Family Therapist | 106H00000X | 49883 | CA | Primary |
Addresses
Primary practice location
16404 Smokey Point Blvd Ste 102B
Arlington, WA 98223-8417
Mailing address
3494 Camino Tassajara Ste 1056
Danville, CA 94506-4680
Phone (925) 383-3466
Other practice location 1
3494 Camino Tassajara Ste 1056
Danville, CA 94506-4680
Phone (925) 383-3466
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 |
|---|---|---|---|
| LF61338799 | WA | MD | Marriage & Family Therapist |
| 49883 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1073651998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3494 CAMINO TASSAJARA STE 1056",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064680",
"telephone_number": "925-383-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16404 SMOKEY POINT BLVD STE 102B",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238417",
"telephone_number": "425-943-9110"
}
],
"practiceLocations": [
{
"address_1": "3494 Camino Tassajara Ste 1056",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "CA",
"postal_code": "945064680",
"country_code": "US",
"telephone_number": "925-383-3466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLEGOS",
"first_name": "JAMES",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61338799",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "49883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.