Active NPI
Andrew Isles Galarneau, MA, LMHC, CAP
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1770919086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12041
- Practice address
- 820 Prudential Dr
Suite 510
Jacksonville, FL 32207-8210 - Phone
- (904) 376-3800
- Fax
- (904) 202-2436
- NPI assigned
- Sep 18, 2013
- Sex
- Male
- 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 | MH12041 | FL | Primary |
Addresses
Primary practice location
820 Prudential Dr
Suite 510
Jacksonville, FL 32207-8210
Mailing address
4160 University Blvd S
Jacksonville, FL 32216-4317
Phone (904) 376-3800
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 |
|---|---|---|---|
| MH12041 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Behavioral Health, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1770919086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164317",
"telephone_number": "904-376-3800",
"fax_number": "904-202-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR",
"address_2": "SUITE 510",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078210",
"telephone_number": "904-376-3800",
"fax_number": "904-202-2436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALARNEAU",
"first_name": "ANDREW",
"middle_name": "ISLES",
"name_prefix": "Mr.",
"credential": "MA, LMHC, CAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-18",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.