Jennifer Galle Ma LCPC Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.007070 Issued in IL

Legal business name

JENNIFER GALLE MA LCPC INC

Practice address

15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162

Phone

(708) 364-0580

Fax

(708) 364-0480

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lynn Galle, MA, LCPC

Title

President

Phone

(815) 212-0082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1316219371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "708-364-0580",
            "fax_number": "708-364-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "708-364-0580",
            "fax_number": "708-364-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER GALLE MA LCPC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "GALLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-212-0082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.007070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.