Active NPI
Lorraine Brown Gallup, L.P.C.
- Professional Counselor
- Willimantic, CT
National Provider Identifier
1235388547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001724
- Practice address
- 1185 Main St
Suite 1
Willimantic, CT 06226-2093 - Phone
- (860) 423-4279
- Fax
- (860) 423-4284
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001724 | CT | Primary |
Addresses
Primary practice location
1185 Main St
Suite 1
Willimantic, CT 06226-2093
Mailing address
1185 Main St
Suite 1
Willimantic, CT 06226-2093
Phone (860) 423-4279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1235388547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 MAIN ST",
"address_2": "SUITE 1",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262093",
"telephone_number": "860-423-4279",
"fax_number": "860-423-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 MAIN ST",
"address_2": "SUITE 1",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262093",
"telephone_number": "860-423-4279",
"fax_number": "860-423-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLUP",
"first_name": "LORRAINE",
"middle_name": "BROWN",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.