Active NPI
Sadigoh Galloway, LICDC-CS
- Addiction (Substance Use Disorder) Counselor
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.161688
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0477109 | Medicaid | OH | |
| 1740936509. | Other | OH | ORGANIZATION NPI |
| 1649654260 | Other | OH | PROVIDER NPI |
| 1841930971. | Other | ALTERNATE ORG NPI | |
| 0262397 | Medicaid | OH |
Other names 1
- Sadigoh Galloway
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 161688 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LICDC.161688 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.1501036 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Recovery Network | Current | Accepting new patients | |
| Your Recovery Counseling | Current | 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.
-
- Community/Behavioral Health Agency
- Beachwood, OH
- NPI 1740936509
-
- Community/Behavioral Health Agency
- Beachwood, OH
- NPI 1841930971
-
dba Your Recovery Foundation
- Voluntary or Charitable Agency
- Beachwood, OH
- NPI 1912749615
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.