Jessica Patrice Galloway

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1801027 Issued in OH

Practice address

508 N Hawley St
Toledo, OH 43607-4476

Phone

(419) 841-7701

NPI assigned

Dec 7, 2017

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

Other names 1

• Jessica Patrice Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1083129431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201703",
            "telephone_number": "419-841-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N HAWLEY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436074476",
            "telephone_number": "419-841-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6605 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436171000",
            "country_code": "US",
            "telephone_number": "419-841-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JESSICA",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PHILLIPS",
            "middle_name": "PATRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Lynn Gallagher
• Patti J Gallagher, CNP
• Taylor Nicole Gallagher, LMT
• Aleah Gallegos
• Ashley Galli
• Sharonda D Galloway
• Warren Galloway
• Laura Galloy, NP
• William P Gallup, M.D.
• Adriana Galvan, QBHS

• Mental Health Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Mental Health Counselor in Ohio

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