Individual provider Active NPI

Lauren Gallagher

  • Psychiatric/Mental Health Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1851003594
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0032643 Issued in OH
Practice address
580 Office Pkwy Ste 130
Westerville, OH 43082-8645
Phone
(614) 747-5555
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0032643 OH Primary

Addresses

Primary practice location

580 Office Pkwy Ste 130
Westerville, OH 43082-8645

Mailing address

580 Office Pkwy Ste 130
Westerville, OH 43082-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002310 OH Practitioner - Nurse Practitioner 1153859715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032643OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psycho Social Therapies,LTD CurrentSince Dec 10, 2023 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Jan 1, 2025 Accepting new patients
Origin Mental Wellness LLC Psychiatric/Mental Health Past Accepting new patients

Locations

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1851003594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 OFFICE PKWY STE 130",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 OFFICE PKWY STE 130",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828645",
            "telephone_number": "614-747-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0032643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.