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CLARISSA J GALLEGOS
NPI 1306453808
Counselor - Professional in Albuquerque, NM

Active since September 28, 2020PECOS Enrolled
1709 MOON ST NE, ALBUQUERQUE, NM 87112(505) 977-5828 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2025, May 14, 2025, Aug 9, 2024 and 2 more (5 updates tracked since 2020).

About Clarissa J Gallegos NPPES

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

CLARISSA J GALLEGOS (NPI 1306453808) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-2024-0523) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1306453808
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCLARISSA J GALLEGOS
Location Address1709 MOON ST NEAlbuquerque, NM 87112-3935
Mailing Address1709 Moon St NeAlbuquerque, NM 87112-3935
Phone(505) 977-5828
Sole ProprietorNo
Enumeration DateSeptember 28, 2020
Last NPPES UpdateDecember 1, 20255 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1306453808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CTB-2024-0523
1709 MOON ST NE, Albuquerque, NM 87112
Open in Google Maps ↗

Secondary Practice Location 1

Location 18401 Constitution Ave NEAlbuquerque, NM 87110-7604 · Phone (505) 271-0329 · Fax (505) 271-0329

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarissa J Gallegos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Clarissa Gallegos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unica
Same address
Community/Behavioral Health
1709 MOON ST NE
Albuquerque, NM 87112
  • Reassigned Medicare billing, New Mexico enrollment
  • 17 clinicians in this Medicare group
NPI 1093935959 (505) 271-0329

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRY MEURER
Counselor
1709 MOON ST NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 271-0329
MARIAH VASQUEZ LCSW
Social Worker (Clinical)
1709 MOON ST NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 271-0329
ANNA MARIE GONZALES LMSW
Social Worker (Clinical)
1709 MOON ST NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 271-0329
KATE S. GODSEY LMFT
Marriage & Family Therapist
1709 MOON ST NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 271-0329
HEIDI MAE GALL LMHC
Counselor (Professional)
1709 MOON ST NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 271-4957
ALEXANDER GLAZIER
Community Health Worker
1709 MOON ST NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 621-8744
MS. DENISE CLAIRE CLEMENT LCSW
Social Worker (Clinical)
1709 MOON ST NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 271-0329
PATRICIA RANDOLPH
Community Health Worker
1709 MOON ST NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 271-0329

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 Clarissa Gallegos's NPI number?

The NPI number for Clarissa Gallegos is 1306453808. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Clarissa Gallegos located?

Clarissa Gallegos practices at 1709 Moon St NE, Albuquerque, NM 87112. The listed phone number is (505) 977-5828.

What is Clarissa Gallegos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Clarissa Gallegos enrolled in Medicare?

Yes. Clarissa Gallegos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clarissa Gallegos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa Gallegos reassigns Medicare benefits to Unica (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarissa Gallegos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clarissa Gallegos was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.