Individual provider Active NPI

Gayla Joyce O'Fallon, LPC, MAC

  • Addiction (Substance Use Disorder) Counselor
  • Evergreen, CO
National Provider Identifier
1336634450
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3294 Issued in CO
Practice address
32065 Castle CT Ste 205
Evergreen, CO 80439-9586
Phone
(720) 837-4724
Fax
(720) 504-7787
NPI assigned
Jun 30, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3294 CO Primary

Addresses

Primary practice location

32065 Castle CT Ste 205
Evergreen, CO 80439-9586

Mailing address

32065 Castle CT Ste 205
Evergreen, CO 80439-9586
Phone (720) 837-4724

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

LicenseStateTypeSpecialty
3294COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1336634450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32065 CASTLE CT STE 205",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399586",
            "telephone_number": "720-837-4724",
            "fax_number": "720-504-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32065 CASTLE CT STE 205",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399586",
            "telephone_number": "720-837-4724",
            "fax_number": "720-504-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FALLON",
        "first_name": "GAYLA",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "LPC, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "3294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.