AMY GALLANT, MS, CGC, MBA — NPI 1386083301 (Licensed & Credentialed Genetic Counselor, MS in GRANBY, CT)

CMS-1500 Box 24J / 33a • NPI

1386083301

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

170300000X

Licensed & Credentialed Genetic Counselor, MS

Box 32 Service Location & ZIP+4

9 BROOK PASTURE LN, GRANBY, CT, 06035-1001

✓ 9-Digit EDI 837 ZIP+4 (06035-1001)

Practice Phone & Referral Fax

(860) 707-4789

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1386083301 (AMY GALLANT, MS, CGC, MBA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1386083301` (NPI-1 Individual Practitioner)
Provider / Legal Name	AMY GALLANT, MS, CGC, MBA
Plain-English Specialty	Licensed & Credentialed Genetic Counselor, MS NUCC Code: `170300000X` (Genetic Counselor, MS)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9 BROOK PASTURE LN, GRANBY, CT, 06035-1001
Practice Telephone / Fax	Tel: (860) 707-4789
Administrative Mailing Address	9 BROOK PASTURE LN, GRANBY, CT, 06035-1001
Enumeration & Last Sync	Enumerated: 2013-06-24 \| CMS Record Updated: 2024-02-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9 BROOK PASTURE LN, GRANBY, CT, 06035-1001

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Plain-English Taxonomy & CMS Crosswalk (170300000X)

What Does Taxonomy Code 170300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 170300000X translates to:
"Licensed & Credentialed Genetic Counselor, MS"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Genetic Counselor, MS for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMY GALLANT, MS, CGC, MBA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`170300000X` — Genetic Counselor, MS Plain English: Licensed & Credentialed Genetic Counselor, MS	State: MA \| License: `GC059` \| Primary: Secondary
`170300000X` — Genetic Counselor, MS Plain English: Licensed & Credentialed Genetic Counselor, MS	State: CA \| License: `GC000544` \| Primary: Secondary
`170300000X` — Genetic Counselor, MS Plain English: Licensed & Credentialed Genetic Counselor, MS	State: NJ \| License: `25MJ00077800` \| Primary: Secondary
`170300000X` — Genetic Counselor, MS Plain English: Licensed & Credentialed Genetic Counselor, MS	State: CT \| License: `45` \| Primary: Yes (Primary)

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AMY GALLANT, MS, CGC, MBA (NPI #1386083301)