MARY JOHANNA GALLAGHER (NPI# 1073675062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073675062 |
| Entity Type | Individual |
| Full Name | MARY JOHANNA GALLAGHER |
| Credential | LLPC |
| Practice Address |
1874 Penobscot Dr Okemos MI 48864 |
| Mailing Address |
4660 Marsh Rd Okemos MI 48864-2143 |
| Practice Telephone | 9897089387 |
| Mailing Telephone | 9897089387 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401009662 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 812 E Jolly Rd, Suite 114, Lansing, MI 489106818 | 5173469539 | 5173468291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639226798 | Mary M. Gallagher | Psychologist | 8 Ohayo Dr, West Hurley, NY 12491-5622 | 2007-01-04 |
| 1497755938 | Mary Patricia Gallagher | Registered Nurse | 5712 Rio Vista Dr, Derwood, MD 20855-2433 | 2005-07-27 |
| 1659931509 | Mary K Gallagher | Occupational Therapist | 130 Condor St, East Boston, MA 02128-1305 | 2019-06-13 |
| 1972094837 | Mary Kathleen Gallagher | Family Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-05-25 |
| 1023535218 | Mary Lucarelli Gallagher | Registered Nurse | 7431 Ne Evergreen Pkwy Ste 100, Hillsboro, OR 97124-5831 | 2017-08-28 |
| 1841713682 | Mary Gallagher | Pharmacist | 1441 N Mayfair Rd, Wauwatosa, WI 53226-3281 | 2017-07-24 |
| 1124556725 | Mary Gallagher | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2017-05-25 |
| 1093258832 | Mary Gallagher | Nurse Practitioner | 495 Station Ave, South Yarmouth, MA 02664-1218 | 2016-11-28 |
| 1578011763 | Mary Gallagher | Occupational Therapy Assistant | 150 Purchase St, Suite 9, Rye, NY 10580-2141 | 2016-09-15 |
| 1114384047 | Mary Gallagher | Counselor | 701 Lee St, Suite 800, Des Plaines, IL 60016-4539 | 2016-01-22 |
| Street Address |
1874 PENOBSCOT DR |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083245930 | Shiela Laverne Owens | Counselor | 2137 Fox Hollow Dr, Okemos, MI 48864-3922 | 2020-01-29 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1477061281 | Roxane Minkus | Counselor | 2109 Hamilton Rd Ste 201, Okemos, MI 48864-1700 | 2018-01-15 |
| 1376993014 | John Cantu | Counselor | 4299 Aztec Way, Okemos, MI 48864-5209 | 2016-06-14 |
| 1124486642 | Support Network Counseling LLC | Counselor | 4131 Okemos Rd Ste 10, Okemos, MI 48864-2823 | 2016-01-29 |
| 1598121824 | Helen A Turkovich | Counselor | 4660 Marsh Rd Ste 23, Okemos, MI 48864-2143 | 2015-12-31 |
| 1609244979 | Erin Gajda | Counselor | 2167 Commons Pkwy, Okemos, MI 48864-3987 | 2015-09-03 |
| 1639597784 | Steven Adam Ward | Counselor | 4376 Okemos Rd Apt C210, Okemos, MI 48864-2537 | 2014-04-04 |
| 1336377225 | Marci Rene-nelson Cyphers | Counselor | 4295 Okemos Rd Ste 135, Okemos, MI 48864-6201 | 2009-06-30 |
| 1376739987 | Jennifer A Hogan | Counselor | 2422 Jolly Rd Ste 300, Okemos, MI 48864-3686 | 2007-09-18 |
| Find all providers in OKEMOS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.