Melisha Gallutia

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.184401 Issued in OH

Practice address

6202 Trust Dr
Holland, OH 43528-8425

Phone

(419) 824-8462

NPI assigned

Apr 22, 2022

Last updated

Oct 8, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Racing for Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Holland, OH
  • NPI 1265023592
  NPD
• Racing for Recovery

  • Community/Behavioral Health Agency
  • Holland, OH
  • NPI 1528411097

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1194469536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 TRUST DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288425",
            "telephone_number": "419-824-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 TRUST DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288425",
            "telephone_number": "419-824-8462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Central Park W Ste 106",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173009",
            "country_code": "US",
            "telephone_number": "844-316-7599 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLUTIA",
        "first_name": "MELISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2026-10-08",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.184401",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "QMHSIII",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0484715",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Fry
• Nichole Fuhr
• Daniel Arthur Fulton
• Kathy Renee Galloway, CDCA
• Stokes Wilson Galloway
• Antonio L Garmon
• Kerry Lee Garretson, PH.D.
• Kecia Gay
• Mackensey Gebers, OT
• Vanessa Geiger

• Addiction (Substance Use Disorder) Counselor in Holland, OH
• Providers in Holland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.