Active NPI
Esmeralda Marin Gallegos, MA LPC
- Counselor
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401017532
- Practice address
- 2001 Hudson Ave Ste D
Kalamazoo, MI 49008-1889 - Phone
- (989) 906-3171
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401017532 | MI | Primary |
Addresses
Primary practice location
2001 Hudson Ave Ste D
Kalamazoo, MI 49008-1889
Mailing address
2001 Hudson Ave Ste D
Kalamazoo, MI 49008-1889
Phone (989) 906-3171
Other names 1
- Ms. Esmeralda Marin Gallegos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Phone (269) 373-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilly of the Valley Counseling, LLC | Counselor | Current | Accepting new patients |
| Kalamazoo County Community Mental Health Authority | Current | Accepting new patients | |
| Kalamazoo County Community Mental Health Authority | Current | Accepting new patients |
Locations
418 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 373-6000
2001 Hudson Ave
Ste D
Kalamazoo, MI 49008
Phone (269) 371-5970
2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132
615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000
610 S Burdick St
Kalamazoo, MI 49007
Phone (269) 373-6000
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kalamazoo, MI
- NPI 1710066253
-
- Counselor
- Kalamazoo, MI
- NPI 1154007474
-
- Community/Behavioral Health Agency
- Kalamazoo, MI
- NPI 1477225506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1275067167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 HUDSON AVE STE D",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081889",
"telephone_number": "989-906-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 HUDSON AVE STE D",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081889",
"telephone_number": "989-906-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "ESMERALDA",
"middle_name": "MARIN",
"name_prefix": "Ms.",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401017532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ESMERALDA",
"last_name": "GALLEGOS",
"middle_name": "MARIN",
"prefix": "MS.",
"credential": "MA LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.