Active NPI
Mary Ann Galle, M.A., L.M.H.C, C.R.C
- Mental Health Counselor
- Bradenton, FL
National Provider Identifier
1992986939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 8473
- Practice address
- 6400 Manatee Ave W
Suite E
Bradenton, FL 34209-2378 - Phone
- (941) 795-7986
- Fax
- (941) 795-5333
- NPI assigned
- Nov 19, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 8473 | FL | Primary |
Addresses
Primary practice location
6400 Manatee Ave W
Suite E
Bradenton, FL 34209-2378
Mailing address
6400 Manatee Ave W
Suite E
Bradenton, FL 34209-2378
Phone (941) 795-7986
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH 8473 | Other | FL | ST. OF FL. DEPT. OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE |
| 042116 | Other | COMMISSION OF REHABILITATION COUNSELING CERTIFICATION |
Other names 1
- Confidential Christian Counseling Center
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 8473 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confidential Christian Counseling Center | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Bradenton, FL
- NPI 1659579498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1992986939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 MANATEE AVE W",
"address_2": "SUITE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342092378",
"telephone_number": "941-795-7986",
"fax_number": "941-795-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 MANATEE AVE W",
"address_2": "SUITE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342092378",
"telephone_number": "941-795-7986",
"fax_number": "941-795-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLE",
"first_name": "MARY ANN",
"name_prefix": "Mrs.",
"credential": "M.A., L.M.H.C, C.R.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 8473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST. OF FL. DEPT. OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
"identifier": "MH 8473",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION OF REHABILITATION COUNSELING CERTIFICATION",
"identifier": "042116",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONFIDENTIAL",
"last_name": "CENTER",
"middle_name": "CHRISTIAN COUNSELING",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.