Active NPI
Marcia Colette Gallion, LCSW16072
- Mental Health Counselor
- San Bruno, CA
National Provider Identifier
1285959395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS16072
- Practice address
- 2247 Shelter Creek LN
San Bruno, CA 94066-6076 - Phone
- (650) 438-1994
- NPI assigned
- Mar 31, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS16072 | CA | Primary |
Addresses
Primary practice location
2247 Shelter Creek LN
San Bruno, CA 94066-6076
Mailing address
PO Box 343
San Bruno, CA 94066-0343
Phone (650) 438-1994
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS16072 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Foundation | Past | Accepting new patients |
Organizations & group practices 1
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 Illness Community Based Residential Treatment Facility
- San Francisco, CA
- NPI 1316001340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1285959395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 343",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940660343",
"telephone_number": "650-438-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2247 SHELTER CREEK LN",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940666076",
"telephone_number": "650-438-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLION",
"first_name": "MARCIA",
"middle_name": "COLETTE",
"credential": "LCSW16072",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS16072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.