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

Mrs. Kelly Dianne Gallaugher

Individual provider Mental Health Counselor · NPI 1619200219

Mrs. Kelly Dianne Gallaugher is a Clinical Social Worker in Grass Valley, California. Qualified in 2013, 13 years ago. Practices with Blue Moon Senior Counseling of California LLC, a 79-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
13
In the registry since
2009
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Practice location Address checks out

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone: (530) 274-9762
Fax: (530) 273-7255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3111 Professional Dr, Auburn, CA 95603-2456 — (530) 274-9762

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1619200219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2009
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Blue Moon Senior Counseling Of California Llc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grass Valley