Mary Gallagher, LPC, RD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Daybreak CT
Farmingdale, NJ 07727-3763

Phone

(908) 596-1066

NPI assigned

Jul 7, 2021

Sex

Female

Sole proprietor

No

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.

• Namaste Therapy

  • Mental Health Counselor
  • Farmingdale, NJ
  • NPI 1720735053

  Mental Health

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2022.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1417528837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 REDMOND AVE",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077193030",
            "telephone_number": "908-596-1066",
            "fax_number": "732-389-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAYBREAK CT",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077273763",
            "telephone_number": "908-596-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MARY",
        "credential": "LPC, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Daybreak Ct",
            "city": "Farmingdale",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077273763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emanuel'S Place
• Farmingdale Drugs Inc
• Farmingdale Family Practice Associates LLC
• Farmingdale Medical Associates LLC
• Brennan Hanley Feldman, DDS
• Moira Gormley
• Heartfelt Health Care Agency LLC
• Emily Nancy Herbst, PA-C
• Howell Township Public Schools
• Teresa Marie Ioannucci

• All providers in Farmingdale, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.