MRS. KELLY DIANNE GALLAUGHER
NPI 1619200219
Counselor - Mental Health in Grass Valley, CA

Active since September 14, 2009PECOS EnrolledAccepts Medicare Assignment
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945(530) 274-9762(530) 273-7255 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Dianne Gallaugher NPPES

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

MRS. KELLY DIANNE GALLAUGHER (NPI 1619200219) is an individual mental health provider in Grass Valley, California and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Auburn, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619200219
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY DIANNE GALLAUGHER
Location Address844 OLD TUNNEL RDGrass Valley, CA 95945-8524
Mailing Address844 Old Tunnel RdGrass Valley, CA 95945-8524 · (530) 274-9762 · Fax (530) 273-7255
Fax(530) 273-7255
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 14, 2009
Last NPPES UpdateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
NPI 1619200219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
844 OLD TUNNEL RD, Grass Valley, CA 95945

Secondary Practice Location 1

Location 13111 Professional DrAuburn, CA 95603-2456 · Phone (530) 274-9762 · Fax (530) 273-7255

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

Mrs. Kelly Dianne Gallaugher 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 ID7315302940
PECOS Enrollment IDI20230503001619
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.

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.

Registered Nurse (Women's Health Care, Ambulatory)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Physician Assistant (Medical)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nurse Practitioner (Pediatrics)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Clinic/Center (Federally Qualified Health Center (FQHC))
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Pharmacy (Community/Retail Pharmacy)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nurse Practitioner (Psychiatric/Mental Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Physician Assistant
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nurse Practitioner (Women's Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945

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 Gallaugher's NPI number?

The NPI number for Kelly Gallaugher is 1619200219. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Where is Kelly Gallaugher located?

Kelly Gallaugher practices at 844 Old Tunnel Rd, Grass Valley, CA 95945. The listed phone number is (530) 274-9762.

What is Kelly Gallaugher's specialty?

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

Is Kelly Gallaugher enrolled in Medicare?

Yes. Kelly Gallaugher 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.

When was this NPI record last updated?

The NPPES record for Kelly Gallaugher was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.