Organization Active NPI

Jacquie Gallaway, LLC

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1821543570
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MC 60301591 Issued in WA
Legal business name
JACQUIE GALLAWAY, LLC
Practice address
200 1St Ave W Ste 400
Seattle, WA 98119-4219
Phone
(206) 457-9291
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacquelyn Jo Gallaway, MA LMHCA
Title
Owner
Phone
(206) 457-9291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MC 60301591 WA Primary

Addresses

Primary practice location

200 1St Ave W Ste 400
Seattle, WA 98119-4219

Mailing address

200 1St Ave W Ste 400
Seattle, WA 98119-4219
Phone (206) 457-9291

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1821543570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST AVE W STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194219",
            "telephone_number": "206-457-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST AVE W STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194219",
            "telephone_number": "206-457-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUIE GALLAWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "GALLAWAY",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-457-9291",
        "authorized_official_credential": "MA LMHCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "MC 60301591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.