Active NPI
Michael Gallagher, LPC
- Professional Counselor
- Bethlehem, PA
National Provider Identifier
1689254104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013143
- Practice address
- 257 Brodhead Rd
Bethlehem, PA 18017-8938 - Phone
- (484) 822-5700
- NPI assigned
- Apr 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC013143 | PA | Primary |
Addresses
Primary practice location
257 Brodhead Rd
Bethlehem, PA 18017-8938
Mailing address
1215 N New St
Bethlehem, PA 18018-2719
Phone (419) 956-9872
Other practice location 1
929 Northampton St
Easton, PA 18042-4231
Phone (610) 330-9862
Other practice location 2
1245 S Cedar Crest Blvd Ste 303
Allentown, PA 18103-6258
Phone (610) 435-4151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients |
Locations
257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
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.
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bethlehem, PA
- NPI 1326061581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1689254104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 N NEW ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180182719",
"telephone_number": "419-956-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 BRODHEAD RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180178938",
"telephone_number": "484-822-5700"
}
],
"practiceLocations": [
{
"address_1": "929 Northampton St",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "PA",
"postal_code": "180424231",
"country_code": "US",
"telephone_number": "610-330-9862",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1245 S Cedar Crest Blvd Ste 303",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036258",
"country_code": "US",
"telephone_number": "610-435-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLAGHER",
"first_name": "MICHAEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-09",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.