Active NPI
Carole Elaine Gallant, LMSW, ACSW
- Mental Health Counselor
- Bloomfield Hills, MI
National Provider Identifier
1760412340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801066999
- Practice address
- 43996 Woodward Ave
Suite 101
Bloomfield Hills, MI 48302-5027 - Phone
- (248) 338-2988
- Fax
- (248) 338-1322
- NPI assigned
- Jul 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801066999 | MI | Primary |
Addresses
Primary practice location
43996 Woodward Ave
Suite 101
Bloomfield Hills, MI 48302-5027
Mailing address
4753 Wendrick Dr
West Bloomfield, MI 48323-3652
Phone (248) 851-1210
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028363 | Other | MI | VALUE OPTIONS |
| 0911419 | Other | MI | BCBSM MESSA/MAGELLAN |
| 1063603106 | Other | MI | HEALTH PLUS PIN |
| 20530 | Other | MI | BCBS SA PIN |
| 130958 | Other | MI | CARE CHOICES/PREFERRED |
| 258694 | Other | MI | MHN PIN |
| 7509104190 | Other | MI | BCBSM MENTAL HEALTH PIN |
| 1705289 | Medicaid | MI | |
| 5266701 | Other | MI | AETNA BEHAVIORAL HEALTH |
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 |
|---|---|---|---|
| 6801066999 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760412340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4753 WENDRICK DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233652",
"telephone_number": "248-851-1210",
"fax_number": "248-626-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVE",
"address_2": "SUITE 101",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025027",
"telephone_number": "248-338-2988",
"fax_number": "248-338-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLANT",
"first_name": "CAROLE",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "LMSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801066999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "028363",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM MESSA/MAGELLAN",
"identifier": "0911419",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS PIN",
"identifier": "1063603106",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SA PIN",
"identifier": "20530",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES/PREFERRED",
"identifier": "130958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PIN",
"identifier": "258694",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM MENTAL HEALTH PIN",
"identifier": "7509104190",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1705289",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "5266701",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.