Mary Johanna Gallagher, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009662 Issued in MI

Practice address

1874 Penobscot Dr
Okemos, MI 48864

Phone

(989) 708-9387

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 1, 2024 through Aug 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Winding Path Counseling LLC

  • Professional Counselor
  • Okemos, MI
  • NPI 1558994871
  NPD Authorized official
• Cor Counseling Community Services and Clinical Supervision LLC

  • Mental Health Counselor
  • East Lansing, MI
  • NPI 1861057473
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1073675062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 MARSH RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642143",
            "telephone_number": "989-708-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PENOBSCOT DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "989-708-9387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 E Jolly Rd",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489106818",
            "country_code": "US",
            "telephone_number": "517-346-9539",
            "fax_number": "517-346-8291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MARY",
        "middle_name": "JOHANNA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Gahir
• Tenille Reena Gaines, PHD
• Erin Gajda, LPC
• Emaleigh Gale
• Karen Lynn Gallagher, MSW ACSW
• Cyndi Gallegos, LLMSW
• Kami Galloway
• Nathan Gammell
• Jasmine Renee Garback, BT
• Shawn Garcia II

• Professional Counselor in Okemos, MI
• Providers in Okemos, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.