Individual provider Active NPI

Galen Bahadoorsingh, MS, LPC

  • Mental Health Counselor
  • Edwardsville, KS
National Provider Identifier
1447800875
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3494 Issued in KS
Practice address
10601 Kaw Dr Ste B2
Edwardsville, KS 66111-1130
Phone
(816) 490-7877
NPI assigned
Sep 17, 2019
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3494 KS Primary

Addresses

Primary practice location

10601 Kaw Dr Ste B2
Edwardsville, KS 66111-1130

Mailing address

5410 N Summit St Unit 4111
Kansas City, MO 64118-4187
Phone (816) 490-7877

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3494KSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1447800875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N SUMMIT ST UNIT 4111",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184187",
            "telephone_number": "816-490-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 KAW DR STE B2",
            "city": "EDWARDSVILLE",
            "state": "KS",
            "postal_code": "661111130",
            "telephone_number": "816-490-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADOORSINGH",
        "first_name": "GALEN",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.