Brittany Wilkerson-Galvin, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00714500 Issued in NJ

Practice address

8 Marcella Ave
West Orange, NJ 07052-4164

Phone

(973) 736-2041

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Main Street Counseling Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Orange, NJ
  • NPI 1578699070
  NPD
• Main St Counseling Center

  • Community/Behavioral Health Agency
  • West Orange, NJ
  • NPI 1720417876
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1609568948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MCCOSH RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432124",
            "telephone_number": "862-268-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MARCELLA AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524164",
            "telephone_number": "973-736-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON-GALVIN",
        "first_name": "BRITTANY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00714500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whidbey Island Public Hospital District
• Brittany White, PT, DPT
• Sharna White
• Venessa White
• Derek Widmayer, DMD
• Jami Wilkinson
• William Nadelberg Etal PTR William Nadelberg
• J Bradley Williams, PHD
• Kyle Thomas Williams, PTA
• Lyndsey Rose Williams, PTA

• Mental Health Counselor in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.