Active NPI
Edith D Johnston, LPC
- Professional Counselor
- Delta, CO
National Provider Identifier
1508974635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2162
- Practice address
- 800 A St
Delta, CO 81416-2627 - Phone
- (970) 216-5753
- Fax
- (970) 874-2840
- NPI assigned
- Aug 28, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2162 | CO | Primary |
Addresses
Primary practice location
800 A St
Delta, CO 81416-2627
Mailing address
P.O. Box 301
Delta, CO 81416
Phone (970) 216-5753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59920874 | Medicaid | CO |
Other names 1
- Ms. Edith D Gallenbeck
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 |
|---|---|---|---|
| 2162 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1508974635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 301",
"city": "DELTA",
"state": "CO",
"postal_code": "81416",
"telephone_number": "970-216-5753",
"fax_number": "970-874-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 A ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162627",
"telephone_number": "970-216-5753",
"fax_number": "970-874-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "EDITH",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59920874",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EDITH",
"last_name": "GALLENBECK",
"middle_name": "D",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.