Caleigh Marie Galvan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10108125 Issued in WI

Practice address

N5682 County Road K
Fond Du Lac, WI 54937-7908

Phone

(920) 472-2005

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 17, 2024 through Sep 17, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rawhide Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, WI
  • NPI 1841334620
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1932664950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5682 COUNTY ROAD K",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549377908",
            "telephone_number": "920-472-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5682 COUNTY ROAD K",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549377908",
            "telephone_number": "920-472-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 S Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549354274",
            "country_code": "US",
            "telephone_number": "920-517-1619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "CALEIGH",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10108125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory G Frounfelter, PT
• Stephanie Nicole Fry, OTR/L
• Jennifer L Fryda, APNP
• Neil J Gaertig, PT
• Richard Alan Galow, DDS
• Jessica Marie Garcia, DNP-PMHNP
• Brooke M Gardner, PT, AT
• Karie Garfoot, P.T.
• Andrew Garris, DDS
• Seamus Garvey, P.T.

• Mental Health Counselor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.