Clarissa Sueann Gallegos, MA, LPC in Broomfield, CO

Clarissa Sueann Gallegos, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Broomfield, Colorado. Her current practice location is 3303 W 144th Ave Unit 204, Broomfield, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 709-2810.

Clarissa Sueann Gallegos is licensed to practice in Colorado (license number LPC.0019762) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255988598.

Contact Information

	Clarissa Sueann Gallegos, MA, LPC
	3303 W 144th Ave Unit 204, Broomfield, CO 80023-9601
	(720) 709-2810
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clarissa Sueann Gallegos
Gender	Female
Speciality	Counselor - Professional
Location	3303 W 144th Ave Unit 204, Broomfield, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255988598
Provider Enumeration Date: 08/21/2019
Last Update Date: 12/26/2023

Medicare PECOS Information:

PECOS PAC ID: 7618328998
Enrollment ID: I20240111000851

Medical Identifiers

Medical identifiers for Clarissa Sueann Gallegos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255988598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC.0019762 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clarissa Sueann Gallegos allows following entities to bill medicare on her behalf.

Entity Name	Krueger Emh Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114640356 PECOS PAC ID: 8921463605 Enrollment ID: O20230502002389

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarissa Sueann Gallegos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clarissa Sueann Gallegos, MA, LPC 3303 W 144th Ave Unit 204, Broomfield, CO 80023-9601 Ph: (720) 709-2810	Clarissa Sueann Gallegos, MA, LPC 3303 W 144th Ave Unit 204, Broomfield, CO 80023-9601 Ph: (720) 709-2810

Reviews and Comments

Counselor in Broomfield, CO

Katrina Whitehead, MA,LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1176 Opal St, Broomfield, CO 80020 Phone: 720-628-9238
Melissa Rose Rank, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3303 W 144th Ave Unit 204, Broomfield, CO 80023 Phone: 720-709-2810
Mrs. Shirell Renee White, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2605 W 144th Ave, Broomfield, CO 80023 Phone: 720-588-9190
Kevala Kenna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17025 Melody Dr, Broomfield, CO 80023 Phone: 720-296-0257
Brandi Gillen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Interlocken Blvd Ste 100, Broomfield, CO 80021 Phone: 720-773-8727
Carolyn Ann Stubbs, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Burbank St, Broomfield, CO 80020 Phone: 720-583-4182
Catherine Brown, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 E 1st Ave Ste 300, Broomfield, CO 80020 Phone: 720-370-8329

Clarissa Sueann Gallegos, MA, LPC - Medicare Counselor in Broomfield, CO