Active NPI
Maria C Gallardo, M.S.
- Mental Health Counselor
- Roseville, CA
National Provider Identifier
1609248178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PCCI 1180
- Practice address
- 1899 E Roseville Pkwy Ste 140
Roseville, CA 95661-7980 - Phone
- (916) 757-9805
- NPI assigned
- Oct 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PCCI 1180 | CA | Primary |
| School Counselor | 101YS0200X | 140024507 | CA |
Addresses
Primary practice location
1899 E Roseville Pkwy Ste 140
Roseville, CA 95661-7980
Mailing address
401 Farmington Cir
Roseville, CA 95678-5911
Phone (916) 517-0652
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCCI 1180 | CA | MD | Mental Health Counselor |
| 140024507 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1609248178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 FARMINGTON CIR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956785911",
"telephone_number": "916-517-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 E ROSEVILLE PKWY STE 140",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617980",
"telephone_number": "916-757-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLARDO",
"first_name": "MARIA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PCCI 1180",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "140024507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.