Ada Gallup, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016008293 Issued in MO

Practice address

409 Vandiver Dr Ste 102
Columbia, MO 65202-3754

Phone

(573) 239-6642

NPI assigned

Mar 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ada M. Gallup Counseling

  • Community/Behavioral Health Agency
  • Ashland, MO
  • NPI 1528420775
  NPD (past) Authorized official

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316309495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 VANDIVER DR",
            "address_2": "BUILDING 4, SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023754",
            "telephone_number": "573-239-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 VANDIVER DR STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023754",
            "telephone_number": "573-239-6642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Vandiver Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652023754",
            "country_code": "US",
            "telephone_number": "573-239-6642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Amanda Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "MO",
            "postal_code": "650101201",
            "country_code": "US",
            "telephone_number": "573-239-6642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Amanda Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "MO",
            "postal_code": "650101201",
            "country_code": "US",
            "telephone_number": "573-239-6642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLUP",
        "first_name": "ADA",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016008293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Cody Gallemore, M.D.
• Isaac John Galli, PHARMD
• Clayborn Bennett Galloway, ATC
• Tabitha Lynn Ireland Galloway, M.D.
• Toni Marie Galloway, PH.D.
• James E Gamble, O.D.
• Jeffrey M Gamble, OD
• Murtaza Hakim Gandhi, MD
• Mustafa Hakim Gandhi, MD
• Karthik Gangu, M.D.

• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.