Active NPI
Lloysa Gallery, LPC
- Professional Counselor
- Saginaw, MI
National Provider Identifier
1447560842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401015335
- Practice address
- 3550 Shattuck Rd Ste C
Saginaw, MI 48603-3153 - Phone
- (989) 295-4665
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301014299 | MI | |
| Professional Counselor | 101YP2500X | 6401015335 | MI | Primary |
Addresses
Primary practice location
3550 Shattuck Rd Ste C
Saginaw, MI 48603-3153
Mailing address
3550 Shattuck Rd Ste C
Saginaw, MI 48603-3153
Phone (989) 295-4665
Other practice location 1
1217 S Euclid Ave
Bay City, MI 48706-3311
Phone (989) 667-9661
Other names 1
- Ms. Lloysa Colon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251218003348 | MI | Practitioner - Psychologist Billing Independently | 6709371560 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3550 Shattuck Rd
Suite C
Saginaw, MI 48603-3153
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015335 | MI | MD | Professional Counselor |
| 6301014299 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Future & Hope Counseling Services LLC | Current | Accepting new patients |
Locations
3550 Shattuck Rd
Ste C
Saginaw, MI 48603
Phone (989) 295-4665
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saginaw, MI
- NPI 1376190892
MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1447560842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 SHATTUCK RD STE C",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033153",
"telephone_number": "989-295-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 SHATTUCK RD STE C",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033153",
"telephone_number": "989-295-4665"
}
],
"practiceLocations": [
{
"address_1": "1217 S Euclid Ave",
"address_purpose": "LOCATION",
"city": "Bay City",
"state": "MI",
"postal_code": "487063311",
"country_code": "US",
"telephone_number": "989-667-9661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLERY",
"first_name": "LLOYSA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301014299",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401015335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LLOYSA",
"last_name": "COLON",
"prefix": "MS.",
"credential": "L.P.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.