Individual provider Active NPI

William Gallego

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1639556764
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00129 Issued in NV
Practice address
1516 E Tropicana Ave Ste 235
Las Vegas, NV 89119-8340
Phone
(702) 812-4189
Fax
(702) 598-2018
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00129 NV
Mental Health Counselor 101YM0800X 00129 NV Primary

Addresses

Primary practice location

1516 E Tropicana Ave Ste 235
Las Vegas, NV 89119-8340

Mailing address

3750 E Bonanza Rd Unit 139
Las Vegas, NV 89110-6433
Phone (702) 812-4189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2619 W Charleston Blvd
Las Vegas, NV 89102-2121
Phone (725) 301-1182

3750 E Bonanza Rd
Unit 139
Las Vegas, NV 89110-6433

3750 E Bonanza Rd Unit
Suite 139
Las Vegas, NV 89110-6433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00129NVMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1639556764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 E BONANZA RD UNIT 139",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106433",
            "telephone_number": "702-812-4189",
            "fax_number": "702-598-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE STE 235",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198340",
            "telephone_number": "702-812-4189",
            "fax_number": "702-598-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGO",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00129",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "00129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.