Elaine Gallas, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003439 Issued in CT

Practice address

236 Boston Post Rd Ste 8
Orange, CT 06477-3236

Phone

(203) 600-8900

Fax

(203) 306-3003

NPI assigned

May 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Creative Healing Services, LLC

  • Professional Counselor
  • Orange, CT
  • NPI 1841564770
  NPD

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1134530843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BOSTON POST RD STE 8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773236",
            "telephone_number": "203-600-8900",
            "fax_number": "203-306-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BOSTON POST RD STE 8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773236",
            "telephone_number": "203-600-8900",
            "fax_number": "203-306-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAS",
        "first_name": "ELAINE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Ruth Fray, FNP
• Synthia Fulcher, ST
• Emily Ann Gaetano
• Tyler Gaetano
• Cody Gallagher, CCC-SLP
• Kimberly Marie Gambino, APRN, RN
• Maria Garcia, PH.D.
• Conner Gavin, DPT
• Jennifer Mae Gendreau, MA, BCBA, LBA
• Regina D Gentile Johnston, OD

• Mental Health Counselor in Orange, CT
• Providers in Orange, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.