Individual provider Active NPI

Elsa Denise Gallippo, LPC

  • Counselor
  • Marquette, MI
National Provider Identifier
1629433768
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015184 Issued in MI
Practice address
347 Rock St
Marquette, MI 49855-4725
Phone
(906) 227-9119
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401018196 MI
Counselor 101Y00000X 6401015184 MI Primary

Addresses

Primary practice location

347 Rock St
Marquette, MI 49855-4725

Mailing address

215 N 5TH St Apt 6
Marquette, MI 49855-4103
Phone (906) 361-7156

Other names 1

  • Ms. Elsa Gallippo- Sebaly Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/a Direct

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

State licenses

LicenseStateTypeSpecialty
6401015184MIMDCounselor
6401018196MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1629433768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 5TH ST APT 6",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554103",
            "telephone_number": "906-361-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ROCK ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554725",
            "telephone_number": "906-227-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIPPO",
        "first_name": "ELSA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018196",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "endpointDescription": "N/-",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "347 Rock St",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498554725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELSA",
            "last_name": "SEBALY",
            "middle_name": "GALLIPPO-",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.