Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Gallagher

Individual provider Professional Counselor · NPI 1215652235

Kelly Gallagher is a Mental Health Counselor in Stafford, Virginia. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
Specialties on file
4
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Practice location Address checks out

3218 Titanic Dr
Stafford, VA 22554-2627
Phone: (203) 461-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701013670 (VA)
Professional Counselor Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1215652235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 12, 2022
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address3218 Titanic Dr, Stafford, VA 22554-2627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stafford