Debra Gallardo, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6002 Issued in OK

Practice address

1303 W Gore Blvd
Suite 3
Lawton, OK 73501-3645

Phone

(580) 301-9519

NPI assigned

Nov 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Mental Health Services, LLCGroup PAC ID 9739420019, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Focus Mental Health Services, LLC

  • Mental Health Counselor
  • Shawnee, OK
  • NPI 1851658959
  Medicare reassignment Care Compare group NPD
• Quest Mhsa

  • Community/Behavioral Health Agency
  • Antlers, OK
  • NPI 1174776819
  Medicare reassignment NPD
• Focus Counseling, LLC

  • Community/Behavioral Health Agency
  • Shawnee, OK
  • NPI 1750704581
  NPD (past)

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1861737116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33207 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043423",
            "telephone_number": "405-432-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W GORE BLVD",
            "address_2": "SUITE 3",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013645",
            "telephone_number": "580-301-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "DEBRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela F Gaddis
• Ronald Lynn Gaddis II
• Margarette Raquelle Gager
• Jessica Gaines
• Daryl Keith Galindo
• Tamyra Gallegos, LPN
• Colleen L Gallimore, PAC
• Amber Marie Galloway, PHARM.D.
• Amber L Galvan, RN
• April A Gambrell

• Mental Health Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.