Corazon Gailor

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

305514 Issued in MN

Practice address

649 Old Highway 8 NW Apt 102
New Brighton, MN 55112-2866

Phone

(508) 963-0471

NPI assigned

Jan 7, 2020

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Recovery Health Services, LLC

  • Mental Health Counselor
  • Spring Lake Park, MN
  • NPI 1245982651

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Community Medical Services Montana Private LLC

  • Methadone Clinic
  • Minneapolis, MN
  • NPI 1033804653

  Addiction (Substance Use Disorder)

  NPD (past)
• Community Medical Services Montana-Private, LLC

  • Methadone Clinic
  • Roseville, MN
  • NPI 1053069005

  Addiction (Substance Use Disorder)

  NPD (past)
• Texas Treatment Services LLC

  • Methadone Clinic
  • Fort Worth, TX
  • NPI 1932377082
  NPD (past)

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1164062113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 OLD HIGHWAY 8 NW APT 102",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122866",
            "telephone_number": "508-963-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 OLD HIGHWAY 8 NW APT 102",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122866",
            "telephone_number": "508-963-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3529 Denton Hwy",
            "address_purpose": "LOCATION",
            "city": "Haltom City",
            "state": "TX",
            "postal_code": "761173293",
            "country_code": "US",
            "telephone_number": "817-759-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAILOR",
        "first_name": "CORAZON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Frye, LICSW, LCSW
• Victoria Frye
• Emma Fuhrman
• Tammie Leetta Fullman
• Bruce C Fyksen, MS, CRC, LADC
• Jennifer Gallagher Lindh, PH.D., LP
• Meredith Gantner, MA, LMFT
• Tracy Lynn Garber, OTL/R
• Melissa Garnett, RN
• Samantha L Garrels, R.D., L.D.

• Addiction (Substance Use Disorder) Counselor in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.