Organization Active NPI

Galloway Counseling LLC

  • Community/Behavioral Health Agency
  • Galloway, NJ
National Provider Identifier
1316486335
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05392500 Issued in NJ
Legal business name
GALLOWAY COUNSELING LLC
Practice address
329 E Jimmie Leeds Rd
Galloway, NJ 08205-4110
Phone
(609) 553-6439
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Brighid Noel, LCSWNPI 1619207255
Title
LCSW/Owner
Phone
(609) 553-6439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05392500 NJ Primary

Addresses

Primary practice location

329 E Jimmie Leeds Rd
Galloway, NJ 08205-4110

Mailing address

329 E Jimmie Leeds Rd
Galloway, NJ 08205-4110
Phone (609) 553-6439

Other names 1

  • Manahawkin Counseling Limited Liability Company Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Galloway
CONNECT URL Galloway Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210506000969 NJ Part B Supplier - Clinic/Group Practice 5496164345 Receives reassigned benefits from 1 practitioner
Practice locations: Galloway, NJ

National Provider Directory

National Provider Directory

Locations

364 N Main St
Manahawkin, NJ 08050
Phone (609) 553-6439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1316486335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054110",
            "telephone_number": "609-553-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054110",
            "telephone_number": "609-553-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "BRIGHID",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "609-553-6439",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05392500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Galloway",
            "affiliation": "N",
            "endpointDescription": "Galloway",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Galloway",
            "address_1": "329 E Jimmie Leeds Rd",
            "city": "Galloway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082054110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Galloway",
            "affiliation": "N",
            "endpointDescription": "Galloway",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Galloway",
            "address_1": "329 E Jimmie Leeds Rd",
            "city": "Galloway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082054110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Manahawkin Counseling Limited Liability Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.