Individual provider Active NPI

Michael Jeremy Galarraga, LPC, ATR-BC, CSAC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1457848012
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012094 Issued in PA
Practice address
245 S 16TH St
Philadelphia, PA 19102-3332
Phone
(347) 351-9242
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701007262 VA
Professional Counselor 101YP2500X 0701007262 VA
Professional Counselor 101YP2500X PC012094 PA Primary

Addresses

Primary practice location

245 S 16TH St
Philadelphia, PA 19102-3332

Mailing address

245 S 16TH St
Philadelphia, PA 19102-3332
Phone (347) 351-9242

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

LicenseStateTypeSpecialty
0701007262VAMDCounselor
PC012094PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1457848012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023332",
            "telephone_number": "347-351-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023332",
            "telephone_number": "347-351-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALARRAGA",
        "first_name": "MICHAEL",
        "middle_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "LPC, ATR-BC, CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701007262",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007262",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.