Individual provider Active NPI

Jennifer Ann Gallagher, LMHC

  • Counselor
  • St Petersburg, FL
National Provider Identifier
1386833101
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3251 3Rd Ave N
St Petersburg, FL 33713-8506
Phone
(727) 321-3854
Fax
(727) 327-7670
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

3251 3Rd Ave N
St Petersburg, FL 33713-8506

Mailing address

3251 3Rd Ave N
St Petersburg, FL 33713-8506
Phone (727) 321-3854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2025 through Jan 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Counseling Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.gallagher@metrotampabay.directbygreenway.com

Organizations & group practices 1

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1386833101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138506",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138506",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.