Trista Ellyn Galvin
Individual provider Active NPI Mental Health Counselor · Dumont, NJ
NPI 1225818487 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1225818487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37AC00702600 (NJ)
- Practice address
- 43 Lafayette Ave
Dumont, NJ 07628-2706 - Phone
- (551) 449-8180
- NPI assigned
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00702600 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00702600 | NJ | Yes |
Addresses
Primary practice location
43 Lafayette Ave
Dumont, NJ 07628-2706
Mailing address
43 Lafayette Ave
Dumont, NJ 07628-2706
Phone (551) 449-8180
Other providers in Dumont, NJ
- Fischer Health & Rehab Center LLC
- Christopher T Fischer
- Focus on the Family Counseling and Advocacy Services LLC
- Elizabeth Frei
- Howard M Friedman
- Stella Gandhi
- Erika Garcia
- Garden State Medical Transportation
- Rene Navarro Gebusion
- Gemini Home Care Services, LLC
All providers in Dumont, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.