Tara Lauren Gallagher, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010947 Issued in VA

Practice address

2540 Professional Rd Ste 3
North Chesterfield, VA 23235-3213

Phone

(804) 918-6259

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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

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.

• Trinity Care LLC

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
  • NPI 1881044790
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1992478358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 PROFESSIONAL RD STE 1",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353213",
            "telephone_number": "804-918-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 PROFESSIONAL RD STE 3",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353213",
            "telephone_number": "804-918-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "TARA",
        "middle_name": "LAUREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704012366",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn L Fullerton, OT
• Camille Funderburk
• Sylvia Amy Funn, LPC
• Ryan T Gabriel, MD
• Gail Santarelli Dba Recovery Resources
• Suhein D Galloza Rivera, M.D.
• Amy Danise Garcia, AGACNP-BC
• Garden of Eden Health Center PC
• Daniel James Gardiner
• Veer Monish Gariwala, MD

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.