Active NPI
Judy G Gallagher, MA, LCMHC, MLADC
- Mental Health Counselor
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4631
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4631 | NH | MD | Mental Health Counselor |
| 0965 | NH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Inner Journey Counseling LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| County of Cheshire | Past | 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.
-
- Mental Health Counselor
- Derry, NH
- NPI 1639970338
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Keene, NH
- NPI 1720444714
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.