Individual provider Active NPI

Sadigoh Galloway, LICDC-CS

  • Addiction (Substance Use Disorder) Counselor
  • Beachwood, OH
National Provider Identifier
1649654260
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LICDC.161688 Issued in OH
Practice address
23811 Chagrin Blvd Ste 105
Beachwood, OH 44122-5525
Phone
(216) 483-1001
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 161688 OH
Social Worker 104100000X S.1501036 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161688 OH Primary

Addresses

Primary practice location

23811 Chagrin Blvd Ste 105
Beachwood, OH 44122-5525

Mailing address

23811 Chagrin Blvd Ste 105
Beachwood, OH 44122-5525
Phone (216) 483-1001

Other practice location 1

23811 Chagrin Blvd Ste 105
Beachwood, OH 44122-5525
Phone (216) 483-1001

Other practice location 2

5850 Ridge Rd
Parma, OH 44129-3169
Phone (833) 510-4357

Other practice location 3

3135 Euclid Ave Ste 102
Cleveland, OH 44115-2524
Phone (216) 391-2064 ext. 38

Other identifiers 5

IdentifierTypeStateIssuer
0477109MedicaidOH
1740936509.OtherOHORGANIZATION NPI
1649654260OtherOHPROVIDER NPI
1841930971.OtherALTERNATE ORG NPI
0262397MedicaidOH

Other names 1

  • Sadigoh Galloway Professional name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sgalloway@yourrecoverystarts.com Health Information Exchange (HIE)
CONNECT URL sgalloway@yourrecoverystarts.com Health Information Exchange (HIE)
CONNECT URL SGALLOWAY@YOURRECOVERYSTARTS.COM 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
161688OHMDAddiction (Substance Use Disorder) Counselor
LICDC.161688OHMDAddiction (Substance Use Disorder) Counselor
S.1501036OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Your Recovery Network Current Accepting new patients
Your Recovery Counseling CurrentSince Mar 6, 2022 Accepting new patients
Your Recovery Counseling Current Accepting new patients

Locations

23811 Chagrin Blvd
Ste 105
Beachwood, OH 44122
Phone (216) 483-1001

2000 Auburn Dr
Ste 200
Cleveland, OH 44122
Phone (216) 378-7633

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1649654260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-483-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-483-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23811 Chagrin Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225525",
            "country_code": "US",
            "telephone_number": "216-483-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441293169",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3135 Euclid Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441152524",
            "country_code": "US",
            "telephone_number": "216-391-2064 x38",
            "fax_number": "216-421-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "SADIGOH",
        "credential": "LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161688",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1501036",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477109",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1740936509.",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1649654260",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTERNATE ORG NPI",
            "identifier": "1841930971.",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262397",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgalloway@yourrecoverystarts.com",
            "affiliation": "N",
            "endpointDescription": "Behavioral Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "619 Hemlock Dr",
            "city": "Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441322121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sgalloway@yourrecoverystarts.com",
            "affiliation": "N",
            "endpointDescription": "sgalloway@yourrecoverystarts.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Auburn Dr Ste 200",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SGALLOWAY@YOURRECOVERYSTARTS.COM",
            "affiliation": "N",
            "endpointDescription": "SGALLOWAY@YOURRECOVERYSTARTS.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23811 Chagrin Blvd Ste 105",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SADIGOH",
            "last_name": "GALLOWAY",
            "credential": "LICDC-CS   LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.