MRS. KOURTNEY MARIE GALLEGOS MSW
NPI 1831644319
Social Worker - Clinical in Muncie, IN

Active since August 24, 2016PECOS Enrolled
421 S WALNUT ST STE 200, MUNCIE, IN 47305(765) 288-1790 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2020, Aug 24, 2016 (2 updates tracked since 2016).

About Mrs. Kourtney Marie Gallegos Msw NPPES

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

MRS. KOURTNEY MARIE GALLEGOS MSW (NPI 1831644319) is an individual clinical provider in Muncie, Indiana, licensed in Indiana (34008725A) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pendleton.

NPPES Registry Identity

NPI1831644319
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KOURTNEY MARIE GALLEGOSCredential: MSW
Location Address421 S WALNUT ST STE 200Muncie, IN 47305-2484
Mailing Address645 S Rogers StBloomington, IN 47403-2353 · (812) 339-1691
Sole ProprietorNo
Enumeration DateAugust 24, 2016
Last NPPES UpdateFebruary 10, 20202 updates tracked since enumeration
✔ NPI 1831644319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34008725A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
421 S WALNUT ST STE 200, Muncie, IN 47305

Other Names 1

Former Name (1)Miss Kourtney Marie Van Zant

Secondary Practice Location 1

Location 1725 S Broadway StPendleton, IN 46064-1305 · Phone (765) 602-1543

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kourtney Marie Gallegos Msw 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 Reassignments

2

Medicare enrollment records show Kourtney Gallegos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2101 JACKSON ST STE 109
Anderson, IN 46016
  • Reassigned Medicare billing, Indiana enrollment
  • 15 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
645 S ROGERS ST
Bloomington, IN 47403
  • Reassigned Medicare billing, Indiana enrollment
  • 251 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
421 S WALNUT ST STE 200
MUNCIE, IN 47305

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 Kourtney Gallegos's NPI number?

The NPI number for Kourtney Gallegos is 1831644319. It was assigned to this individual provider in the NPPES registry on August 24, 2016. The provider is also known as Miss Kourtney Marie Van Zant.

Where is Kourtney Gallegos located?

Kourtney Gallegos practices at 421 S Walnut St Ste 200, Muncie, IN 47305. The listed phone number is (765) 288-1790.

What is Kourtney Gallegos's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kourtney Gallegos enrolled in Medicare?

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

Which organizations bill Medicare for Kourtney Gallegos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Gallegos reassigns Medicare benefits to 2 organizations: Lifeline Medical Center (Anderson, IN) and Centerstone Of Indiana, Inc. (Bloomington, IN). Each 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 Kourtney Gallegos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kourtney Gallegos accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, CareSource, Cigna Healthcare and Moda Health Plan, Inc. and 2 other insurers list Kourtney Gallegos 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 Kourtney Gallegos was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.