NPIMap

Organization Active NPI

Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1578717245
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065439 Issued in MI
Legal business name
KAREN GALLAGHER LMSW ACSW PROFESSIONAL COUNSELING SRVS LLC
Practice address
2149 Jolly Rd Ste 500
Okemos, MI 48864-6028
Phone
(517) 347-4645
Fax
(517) 347-4644
NPI assigned
Nov 7, 2008
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Lisa Peterson
Title
Office Manager
Phone
(517) 347-4645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801065439 MI Primary

Addresses

Primary practice location

2149 Jolly Rd Ste 500
Okemos, MI 48864-6028

Mailing address

2149 Jolly Rd Ste 500
Okemos, MI 48864-6028
Phone (517) 347-4645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090317000245 MI Part B Supplier - Clinic/Group Practice 4183781297 Receives reassigned benefits from 35 practitioners
Practice locations: Jackson, MI; Okemos, MI

National Provider Directory

National Provider Directory

Locations

1331 E Grand River Ave
Ste 210
East Lansing, MI 48823

209 E Washington Ave
Ste 205
Jackson, MI 49201
Phone (517) 648-2416

1020 Long Blvd
Ste 2
Lansing, MI 48911
Phone (517) 694-6188

2149 Jolly Rd
Ste 500
Okemos, MI 48864
Phone 5173474645102

2289 Sower Blvd
Okemos, MI 48864
Phone (517) 220-0603

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1578717245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 JOLLY RD STE 500",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646028",
            "telephone_number": "517-347-4645",
            "fax_number": "517-347-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 JOLLY RD STE 500",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646028",
            "telephone_number": "517-347-4645",
            "fax_number": "517-347-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN GALLAGHER LMSW ACSW PROFESSIONAL COUNSELING SRVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-347-4645"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.