Active NPI
Richard Michael Gallagher, LPC, LCADC
- Professional Counselor
- Egg Harbor TWP, NJ
National Provider Identifier
1982244224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00681600
- Practice address
- 206 W Parkway Dr Ste 1
Egg Harbor TWP, NJ 08234-5106 - Phone
- (609) 645-2500
- NPI assigned
- Jan 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00681600 | NJ | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00312300 | NJ |
Addresses
Primary practice location
206 W Parkway Dr Ste 1
Egg Harbor TWP, NJ 08234-5106
Mailing address
147 London CT
Egg Harbor TWP, NJ 08234-4433
Phone (609) 214-8640
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00312300 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC00681600 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1982244224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 LONDON CT",
"city": "EGG HARBOR TWP",
"state": "NJ",
"postal_code": "082344433",
"telephone_number": "609-214-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W PARKWAY DR STE 1",
"city": "EGG HARBOR TWP",
"state": "NJ",
"postal_code": "082345106",
"telephone_number": "609-645-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "RICHARD",
"middle_name": "MICHAEL",
"credential": "LPC, LCADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00681600",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00312300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.