OLIVIA GALLEGO GONZALEZ
NPI 1992175632
Counselor - Professional in Fort Collins, CO

Active since October 06, 2015PECOS EnrolledAccepts Medicare Assignment
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-1824 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Jul 22, 2024, Oct 14, 2020 (3 updates tracked since 2020).

About Olivia Gallego Gonzalez NPPES

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

OLIVIA GALLEGO GONZALEZ (NPI 1992175632) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.0018321) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992175632
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameOLIVIA GALLEGO GONZALEZ
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824
Fax(844) 270-1824
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 6, 2015
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1992175632 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 CO · LPC.0018321
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0002113 (CO)
4856 INNOVATION DR, Fort Collins, CO 80525

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

Olivia Gallego Gonzalez 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 ID143667592
PECOS Enrollment IDI20240321002030
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.

Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525

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 Olivia Gallego Gonzalez's NPI number?

The NPI number for Olivia Gallego Gonzalez is 1992175632. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Olivia Gallego Gonzalez located?

Olivia Gallego Gonzalez practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Olivia Gallego Gonzalez's specialty?

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

Is Olivia Gallego Gonzalez enrolled in Medicare?

Yes. Olivia Gallego Gonzalez 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 Olivia Gallego Gonzalez was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.