Individual provider Active NPI

Molly Lynn Gallacher, LCSW

  • Mental Health Counselor
  • Abingdon, VA
National Provider Identifier
1407868185
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904005571 Issued in VA
Practice address
27207 Fudge Rd
Abingdon, VA 24210-9447
Phone
(276) 695-0245
Fax
(804) 412-2985
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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 0904005571 VA Primary
Mental Health Counselor 101YM0800X 4450 TN

Addresses

Primary practice location

27207 Fudge Rd
Abingdon, VA 24210-9447

Mailing address

27207 Fudge Rd
Abingdon, VA 24210-9447
Phone (276) 695-0245

Other identifiers 1

IdentifierTypeStateIssuer
010217831MedicaidVA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4450TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
T Med Behavioral Inc Past Accepting new patients
Plumb Alley LCSW, Inc. Past Accepting new patients
Regional Health Resources Inc Past Accepting new patients

Organizations & group practices 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1407868185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27207 FUDGE RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109447",
            "telephone_number": "276-695-0245",
            "fax_number": "804-412-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 FUDGE RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109447",
            "telephone_number": "276-695-0245",
            "fax_number": "804-412-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLACHER",
        "first_name": "MOLLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904005571",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010217831",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.