Active NPI
Sally Roy, M.S., P.P.S.
- School Counselor
- Gasquet, CA
National Provider Identifier
1023817889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 230298643
- Practice address
- 55 Azalea LN
Gasquet, CA 95543 - Phone
- (707) 457-3211
- Fax
- (707) 457-3902
- NPI assigned
- Mar 12, 2025
- Last updated
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 230298643 | CA | Primary |
Addresses
Primary practice location
55 Azalea LN
Gasquet, CA 95543
Mailing address
55 Azalea LN
Gasquet, CA 95543
Phone (707) 457-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230298643 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1023817889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 AZALEA LN",
"city": "GASQUET",
"state": "CA",
"postal_code": "95543",
"telephone_number": "707-457-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 AZALEA LN",
"city": "GASQUET",
"state": "CA",
"postal_code": "95543",
"telephone_number": "707-457-3211",
"fax_number": "707-457-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "SALLY",
"name_prefix": "Mrs.",
"credential": "M.S., P.P.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "230298643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gasquet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.