Active NPI
Jim Galvan, LPC
- Professional Counselor
- Pflugerville, TX
National Provider Identifier
1851778526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67129
- Practice address
- 103 12TH St
Suite 201
Pflugerville, TX 78660-3960 - Phone
- (512) 704-8349
- NPI assigned
- May 1, 2015
- Last updated
- May 1, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67129 | TX | Primary |
Addresses
Primary practice location
103 12TH St
Suite 201
Pflugerville, TX 78660-3960
Mailing address
12443 Tech RDG
Apt 1233
Austin, TX 78753-3389
Phone (512) 964-6711
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 |
|---|---|---|---|
| 67129 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1851778526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12443 TECH RDG",
"address_2": "APT 1233",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787533389",
"telephone_number": "512-964-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 12TH ST",
"address_2": "SUITE 201",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603960",
"telephone_number": "512-704-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "JIM",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-01",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.