Individual provider Active NPI

Robert Gallegos, MA, LPC

  • Professional Counselor
  • Pflugerville, TX
National Provider Identifier
1366816803
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71501 Issued in TX
Practice address
701 FM 685 Ste 450
Pflugerville, TX 78660-7095
Phone
(737) 252-3570
NPI assigned
Nov 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 71501 TX
Professional Counselor 101YP2500X 71501 TX Primary

Addresses

Primary practice location

701 FM 685 Ste 450
Pflugerville, TX 78660-7095

Mailing address

3301 Magellan CT
Round Rock, TX 78665-2135
Phone (512) 287-9864

Other practice location 1

2500 North Dr
Taylor, TX 76574-5004
Phone (512) 287-9864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118004011 TX Practitioner - Mental Health Counselor 2264884832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
71501TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Shepherds New Pathways, LLC Professional CurrentSince May 1, 2024 Accepting new patients
The Shepherds New Pathways, LLC Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

3003 Dawn Dr
Ste 101
Georgetown, TX 78628
Phone (254) 228-5830

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1366816803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MAGELLAN CT",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652135",
            "telephone_number": "512-287-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FM 685 STE 450",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607095",
            "telephone_number": "737-252-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 North Dr",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "TX",
            "postal_code": "765745004",
            "country_code": "US",
            "telephone_number": "512-287-9864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "ROBERT",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-20",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71501",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.