Active NPI
Ronald Ulridge Galloway
- Mental Health Counselor
- Wilmington, NC
National Provider Identifier
1841856978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A14118
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| A14118 | NC | MD | Mental 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.