Jason E Gallaher, LPCC, LMT,

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPCC.0015846 Issued in CO

Practice address

2945 Center Green CT Ste H
Boulder, CO 80301-2275

Phone

(419) 351-2824

NPI assigned

Jan 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1437657376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PEARL PKWY APT 112",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012412",
            "telephone_number": "419-351-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 CENTER GREEN CT STE H",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012275",
            "telephone_number": "419-351-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAHER",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "LPCC, LMT,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0015846",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0020930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Rose Galati, RBT
• James William Galbiati, L.AC.
• Bradley Gale, M.D.
• Tara Galeano, L.P.C.
• Eileen Gallagher, M.D.
• Maxx Gallegos, M.D.
• Allison Mary Galloway, FNP-C
• Celia Galvin, OTR/L
• Heidi S Gamber, RN
• Anna Gamble, LPC

• Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.