Active NPI
Theresa R. Gargala, MA, LLPC
- Mental Health Counselor
- Holland, MI
National Provider Identifier
1740419902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401011392
- Practice address
- 44 E 8TH St
Suite 200
Holland, MI 49423-3575 - Phone
- (616) 510-5515
- NPI assigned
- Jul 9, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401011392 | MI | Primary |
| Professional Counselor | 101YP2500X | 6401011392 | MI | |
| Psychoanalyst | 102L00000X | 6401011392 | MI |
Addresses
Primary practice location
44 E 8TH St
Suite 200
Holland, MI 49423-3575
Mailing address
44 E 8TH St
Suite 200
Holland, MI 49423-3575
Phone (616) 510-5515
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011392 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1740419902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 E 8TH ST",
"address_2": "SUITE 200",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233575",
"telephone_number": "616-510-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 E 8TH ST",
"address_2": "SUITE 200",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233575",
"telephone_number": "616-510-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARGALA",
"first_name": "THERESA",
"middle_name": "R.",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401011392",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011392",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "MI",
"license": "6401011392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.