Individual provider Active NPI

Ronald Ulridge Galloway

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1841856978
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14118 Issued in NC
Practice address
1606 Physicians Dr Ste 104
Wilmington, NC 28401-7348
Phone
(910) 343-6890
NPI assigned
May 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14118 NC Primary

Addresses

Primary practice location

1606 Physicians Dr Ste 104
Wilmington, NC 28401-7348

Mailing address

1009 Glenlea Dr
Wilmington, NC 28405-2203
Phone (910) 612-9102

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

State licenses

LicenseStateTypeSpecialty
A14118NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1841856978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 GLENLEA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052203",
            "telephone_number": "910-612-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 PHYSICIANS DR STE 104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017348",
            "telephone_number": "910-343-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "RONALD",
        "middle_name": "ULRIDGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.