KELLY GALLAGHER
NPI 1215652235
Counselor - Mental Health in Stafford, VA

Active since October 12, 2022PECOS EnrolledAccepts Medicare Assignment
3218 TITANIC DR, STAFFORD, VA 22554(203) 461-5151 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Nov 19, 2024, Jul 10, 2024 and 1 more (4 updates tracked since 2022).

About Kelly Gallagher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY GALLAGHER (NPI 1215652235) is an individual mental health provider in Stafford, Virginia, licensed in Virginia (0701013670) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215652235
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY GALLAGHER
Location Address3218 TITANIC DRStafford, VA 22554-2627
Mailing Address3218 Titanic DrStafford, VA 22554-2627 · (203) 461-5151
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 12, 2022
Last NPPES UpdateDecember 5, 20244 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1215652235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VA · 0701013670
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
3218 TITANIC DR, Stafford, VA 22554

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Gallagher is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284154626
PECOS Enrollment IDI20250228000260
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Gallagher's NPI number?

The NPI number for Kelly Gallagher is 1215652235. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Kelly Gallagher located?

Kelly Gallagher practices at 3218 Titanic Dr, Stafford, VA 22554. The listed phone number is (203) 461-5151.

What is Kelly Gallagher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelly Gallagher enrolled in Medicare?

Yes. Kelly Gallagher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Gallagher accept?

Health plans from Providence Health Plan list Kelly Gallagher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Gallagher was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.