Individual provider Active NPI

Judy G Gallagher, MA, LCMHC, MLADC

  • Mental Health Counselor
  • Derry, NH
National Provider Identifier
1659636397
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4631 Issued in NH
Practice address
84 W Broadway Ste 200
Derry, NH 03038-2323
Phone
(978) 216-2770
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4631 NH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0965 NH

Addresses

Primary practice location

84 W Broadway Ste 200
Derry, NH 03038-2323

Mailing address

PO Box 13
West Peterborough, NH 03468-0013
Phone (978) 216-2770

Other practice location 1

170 Commerce Way
Portsmouth, NH 03801-3226
Phone (323) 205-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325003915 NH Practitioner - Mental Health Counselor 2961925482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

170 Commerce Way
Portsmouth, NH 03801-3242
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4631NHMDMental Health Counselor
0965NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Mar 20, 2025 Accepting new patients
Inner Journey Counseling LLC Addiction (Substance Use Disorder) CurrentSince Mar 30, 2025 Accepting new patients
County of Cheshire PastSince Sep 1, 2019 Accepting new patients

Locations

84 W Broadway
Ste 200
Derry, NH 03038
Phone (508) 484-3034

170 Commerce Way
Portsmouth, NH 03801
Phone (201) 803-8614

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1659636397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "WEST PETERBOROUGH",
            "state": "NH",
            "postal_code": "034680013",
            "telephone_number": "978-216-2770",
            "fax_number": "978-216-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W BROADWAY STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382323",
            "telephone_number": "978-216-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Commerce Way",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013226",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JUDY",
        "middle_name": "G",
        "credential": "MA, LCMHC, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "4631",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.