Individual provider Active NPI

Michelle Gallagher, LPC, LISAC, CT

  • Counselor
  • Scottsdale, AZ
National Provider Identifier
1871045658
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-15937 Issued in AZ
Practice address
8700 E Vista Bonita Dr
Suite 228
Scottsdale, AZ 85255-4251
Phone
(623) 974-3333
Fax
(623) 974-3390
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-15937 AZ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-10174 AZ

Addresses

Primary practice location

8700 E Vista Bonita Dr
Suite 228
Scottsdale, AZ 85255-4251

Mailing address

13460 N 94TH Dr
Suite K-3
Peoria, AZ 85381-4835
Phone (623) 974-3333

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
LPC-15937AZMDCounselor
LISAC-10174AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dressner Counseling Services Inc Past Accepting new patients
Sonoran Life Solutions, Inc. Professional PastSince Oct 29, 2012 Accepting new patients

Organizations & group practices 2

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1871045658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR",
            "address_2": "SUITE K-3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814835",
            "telephone_number": "623-974-3333",
            "fax_number": "623-974-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 E VISTA BONITA DR",
            "address_2": "SUITE 228",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554251",
            "telephone_number": "623-974-3333",
            "fax_number": "623-974-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MICHELLE",
        "credential": "LPC, LISAC, CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-15937",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.