Individual provider Active NPI

Brittany Gallineau, L.P.C.

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1891060158
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7727 Issued in LA
Practice address
936 Marilyn Dr
Lafayette, LA 70503-4032
Phone
(337) 281-1235
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66471 TX
Behavior Analyst 103K00000X 1181 TX
Professional Counselor 101YP2500X 7727 LA Primary
Professional Counselor 101YP2500X LPC-22597 AZ

Addresses

Primary practice location

936 Marilyn Dr
Lafayette, LA 70503-4032

Mailing address

936 Marilyn Dr
Lafayette, LA 70503-4032
Phone (337) 281-1235

Other practice location 1

1250 W Washington St Ste 215
Tempe, AZ 85288-1697
Phone (928) 272-7224

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-22597AZMDProfessional Counselor
66471TXMDProfessional Counselor
7727LAMDEndodontist
1181TXMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Soleil Counseling Practice, LLC Professional CurrentSince Jun 7, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Mindful Therapy Group PC PastSince May 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brittanygallineau@tdh.allscriptsdirect.net

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1891060158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MARILYN DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034032",
            "telephone_number": "337-281-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 MARILYN DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034032",
            "telephone_number": "337-281-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 W Washington St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852881697",
            "country_code": "US",
            "telephone_number": "928-272-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLINEAU",
        "first_name": "BRITTANY",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66471",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1181",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7727",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-22597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.