Individual provider Active NPI

Mariah Gallogly

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1609785187
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1551 Ambrosia CT
Fort Collins, CO 80526-3038
Phone
(970) 460-6762
Fax
(970) 680-7250
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1551 Ambrosia CT
Fort Collins, CO 80526-3038

Mailing address

1551 Ambrosia CT
Fort Collins, CO 80526-3038
Phone (970) 460-6762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1609785187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 AMBROSIA CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263038",
            "telephone_number": "970-460-6762",
            "fax_number": "970-680-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 AMBROSIA CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263038",
            "telephone_number": "970-460-6762",
            "fax_number": "970-680-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOGLY",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.