Active NPI
John Patrick Gallagher Jr., M.ED., LMHC
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1609036441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH4718
- Practice address
- 114 E New England Ave Ste 1
Winter Park, FL 32789-4338 - Phone
- (407) 579-2070
- Fax
- (407) 895-6155
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH4718 | FL | Primary |
Addresses
Primary practice location
114 E New England Ave Ste 1
Winter Park, FL 32789-4338
Mailing address
114 E New England Ave Ste 1
Winter Park, FL 32789-4338
Phone (407) 579-2070
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH4718 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Gallagher, LMHC, Inc. | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Winter Park, FL
- NPI 1811222607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1609036441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E NEW ENGLAND AVE STE 1",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894338",
"telephone_number": "407-579-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E NEW ENGLAND AVE STE 1",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894338",
"telephone_number": "407-579-2070",
"fax_number": "407-895-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.ED., LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH4718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.