OCTAVIA ALICIA GALLON LPC
NPI 1851809388
Counselor - Professional in Cheyenne, WY

Active since January 18, 2018PECOS Enrolled
2232 DELL RANGE BLVD STE 270, CHEYENNE, WY 82009(307) 222-9015 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2020, Jan 18, 2018 (2 updates tracked since 2018).

About Octavia Alicia Gallon Lpc NPPES

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

OCTAVIA ALICIA GALLON LPC (NPI 1851809388) is an individual professional provider in Cheyenne, Wyoming, licensed in Wyoming (LPC-1899) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851809388
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameOCTAVIA ALICIA GALLONCredential: LPC
Location Address2232 DELL RANGE BLVD STE 270Cheyenne, WY 82009-4980
Mailing Address2232 Dell Range Blvd Ste 270Cheyenne, WY 82009-4980 · (307) 222-9015
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 18, 2018
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
NPI 1851809388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WY · LPC-1899
Also ListedCounselorTaxonomy 101Y00000X · License PPC-1048 (WY)
2232 DELL RANGE BLVD STE 270, Cheyenne, WY 82009

Other Identifiers 1

Medicaid148935600WY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Octavia Alicia Gallon Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466937552
PECOS Enrollment IDI20260527002766
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

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

Counselor (Mental Health)
2232 DELL RANGE BLVD STE 270
CHEYENNE, WY 82009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851809388, enumerated as an "individual" on January 18, 2018.

The provider is located at 2232 DELL RANGE BLVD STE 270 CHEYENNE, WY 82009 and the phone number is (307) 222-9015.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.