Individual provider Active NPI

Kelsey Rose Galletta

  • Mental Health Counselor
  • East Stroudsburg, PA
National Provider Identifier
1285279828
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
429 N Courtland St
East Stroudsburg, PA 18301-1906
Phone
(484) 225-4323
Fax
(570) 664-6995
NPI assigned
Nov 7, 2019
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

429 N Courtland St
East Stroudsburg, PA 18301-1906

Mailing address

515 W Linden St
Allentown, PA 18101-1426
Phone (484) 225-4323

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1285279828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W LINDEN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011426",
            "telephone_number": "484-225-4323",
            "fax_number": "570-664-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N COURTLAND ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011906",
            "telephone_number": "484-225-4323",
            "fax_number": "570-664-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLETTA",
        "first_name": "KELSEY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.