Active NPI
Tracey Elizabeth Galloway, LSSP, LPC
- Professional Counselor
- Tyler, TX
National Provider Identifier
1932750064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68245
- Practice address
- 13359 Hwy 155 S
Tyler, TX 75703-6554 - Phone
- (903) 413-3898
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- 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 | 68245 | TX | Primary |
Addresses
Primary practice location
13359 Hwy 155 S
Tyler, TX 75703-6554
Mailing address
15322 County Road 472
Tyler, TX 75706-4032
Phone (903) 413-3898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2352 Dueling Oaks Dr
Suite 100
Tyler, TX 75703-0329
Phone (903) 258-6008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowland Psychology, PLLC | Professional | Current | Accepting new patients |
Locations
1404 Rice Rd
Ste 300
Tyler, TX 75703
Phone (903) 258-6008
Organizations & group practices 1
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": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1932750064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15322 COUNTY ROAD 472",
"city": "TYLER",
"state": "TX",
"postal_code": "757064032",
"telephone_number": "903-413-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13359 HWY 155 S",
"city": "TYLER",
"state": "TX",
"postal_code": "757036554",
"telephone_number": "903-413-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "TRACEY",
"middle_name": "ELIZABETH",
"credential": "LSSP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.