Cassidy J Gallimore, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LAC16988 Issued in AZ

Practice address

16960 W Bell Rd Ste 502
Surprise, AZ 85374-8937

Phone

(602) 695-6077

NPI assigned

Sep 14, 2021

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wildflower Wellness Counseling

  • Professional Counselor
  • Surprise, AZ
  • NPI 1144100645
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1932879731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9139 W THUNDERBIRD RD STE 210",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814923",
            "telephone_number": "602-695-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16960 W BELL RD STE 502",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748937",
            "telephone_number": "602-695-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIMORE",
        "first_name": "CASSIDY",
        "middle_name": "J",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC16988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Galassi
• Ava Lee Galbierczyk, PA-C
• Michael Galibov, DO
• Brenda Galindo
• Matthew Steven Gallegos
• Virginia M Gallup, MA,SLP
• Cyril Esguerra Gampol
• Nicole Danielle Garber, M.D.
• Alex Garcia, LMT
• Krystian Garcia

• Professional Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.