Active NPI
Justin J Gallegos, BMS/CSW PROG COORD
- Counselor
- Los Lunas, NM
National Provider Identifier
1811220718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 750 Morris Rd SE
Los Lunas, NM 87031-5242 - Phone
- (505) 866-2318
- NPI assigned
- Sep 9, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
750 Morris Rd SE
Los Lunas, NM 87031-5242
Mailing address
2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Phone (505) 338-3320
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1811220718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201213",
"telephone_number": "505-338-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORRIS RD SE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870315242",
"telephone_number": "505-866-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "JUSTIN",
"middle_name": "J",
"credential": "BMS/CSW PROG COORD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-09",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.