Julie E Gallivan

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016694 Issued in MI

Practice address

11 N Maple St
Grant, MI 49327-7900

Phone

(231) 834-0444

Fax

(231) 834-0200

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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.

• West Michigan Psychological Services LLC

  • Mental Health Counselor
  • Holland, MI
  • NPI 1215407044
  NPD
• Baldwin Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Grant, MI
  • NPI 1669759437
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2024.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1780160283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BROWN RD",
            "city": "BAILEY",
            "state": "MI",
            "postal_code": "493039782",
            "telephone_number": "616-432-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493277900",
            "telephone_number": "231-834-0444",
            "fax_number": "231-834-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5242 Plainfield Ave NE Ste E",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495251084",
            "country_code": "US",
            "telephone_number": "616-432-7551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 E 120th St",
            "address_purpose": "LOCATION",
            "city": "Grant",
            "state": "MI",
            "postal_code": "493278502",
            "country_code": "US",
            "telephone_number": "231-834-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLIVAN",
        "first_name": "JULIE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Anderson Counseling & Consulting PLLC
• Lindsay Fisher, DMD
• Jamey Foreman, LMSW
• Janet E Fronheiser, D.M.D.
• Caylah Funk
• Jerod Robert Gardner, DO
• Lisabeth Joy Gee, P.A.
• Gerald Van Wieren, M.D., P.C.
• Gerber Memorial Health Service
• Elizabeth Gotberg, LMSW

• All providers in Grant, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.