Individual provider Active NPI

Vanessa Falkenberg Gallagher, LPC-S

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1992041354
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16052 Issued in TX
Practice address
4009 Banister LN
Suite 356
Austin, TX 78704-7040
Phone
(512) 745-1957
Fax
(512) 306-8086
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16052 TX Primary

Addresses

Primary practice location

4009 Banister LN
Suite 356
Austin, TX 78704-7040

Mailing address

9402 Honeycomb Dr
Austin, TX 78737-1119
Phone (512) 745-1957

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

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1992041354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 HONEYCOMB DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371119",
            "telephone_number": "512-745-1957",
            "fax_number": "512-292-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BANISTER LN",
            "address_2": "SUITE 356",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047040",
            "telephone_number": "512-745-1957",
            "fax_number": "512-306-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "VANESSA",
        "middle_name": "FALKENBERG",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.