Active NPI
Brenda Gallagher
- Mental Health Counselor
- Happy Valley, OR
National Provider Identifier
1609397710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11211 SE 82ND Ave Ste 0
Happy Valley, OR 97086-7641 - Phone
- (503) 722-6200
- Fax
- (503) 722-6545
- NPI assigned
- Jun 28, 2017
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11211 SE 82ND Ave Ste 0
Happy Valley, OR 97086-7641
Mailing address
11211 SE 82ND Suite 0
Happy Valley, OR 97086
Phone (503) 722-6200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609397710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 SE 82ND SUITE 0",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "97086",
"telephone_number": "503-722-6200",
"fax_number": "503-722-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 SE 82ND AVE STE 0",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867641",
"telephone_number": "503-722-6200",
"fax_number": "503-722-6545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "BRENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
- Elizabeth Frisby, RN
- Stephen Bernard Fritz, MD
- Fusion Dental Specialists
- Fve Managers, Inc. (The Forum at Town Center)
- G. Waters & Associates, Inc. (Multnomah Medical Clinic)
- Karson Gallagher, MSW
- Andrew Curtis Gandert, FNP-C
- Mary Garanovskiy, BCBA
- Gebi Dakebo Genemo, RN
- Generations Home Health Agency (Generations Home Care Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.