Individual provider Active NPI

Esperanza Vernadres Gallon, MA, PCC

  • Professional Counselor
  • Blue Ash, OH
National Provider Identifier
1467887919
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1200060 Issued in OH
Practice address
11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835
Phone
(513) 982-2442
Fax
(513) 982-2424
NPI assigned
Sep 3, 2013
Last updated
Apr 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 39004239A IN
Professional Counselor 101YP2500X E.1200060 OH Primary

Addresses

Primary practice location

11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835

Mailing address

11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835
Phone (513) 982-2525

Other practice location 1

5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 703-9388

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 Arts

State licenses

LicenseStateTypeSpecialty
39004239AINMDProfessional Counselor
E.1200060OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Is Here Counseling and Consulting Services LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

11223 Cornell Park Dr
Ste 102
Blue Ash, OH 45242
Phone (513) 866-4645

11311 Cornell Park Dr
Ste 205
Blue Ash, OH 45242
Phone (513) 544-8666

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1467887919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 CORNELL PARK DR STE 102",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421835",
            "telephone_number": "513-982-2525",
            "fax_number": "513-982-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 CORNELL PARK DR STE 102",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421835",
            "telephone_number": "513-982-2442",
            "fax_number": "513-982-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452271491",
            "country_code": "US",
            "telephone_number": "513-703-9388",
            "fax_number": "513-631-7484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLON",
        "first_name": "ESPERANZA",
        "middle_name": "VERNADRES",
        "name_prefix": "Ms.",
        "credential": "MA, PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39004239A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1200060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.