Active NPI
Jennifer Del Gallo, LMFT
- Marriage & Family Therapist
- Huntington Beach, CA
National Provider Identifier
1447760434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 102151
- Practice address
- 18811 Huntington St Ste 200
Huntington Beach, CA 92648-6003 - Phone
- (507) 254-7835
- NPI assigned
- Oct 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 102151 | CA | Primary |
Addresses
Primary practice location
18811 Huntington St Ste 200
Huntington Beach, CA 92648-6003
Mailing address
17797 Ash St
Fountain Valley, CA 92708-4501
Phone (507) 254-7835
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102151 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1447760434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17797 ASH ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084501",
"telephone_number": "507-254-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18811 HUNTINGTON ST STE 200",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926486003",
"telephone_number": "507-254-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL GALLO",
"first_name": "JENNIFER",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.