Active NPI
Michael E Gagnon
- Counselor
- Sacramento, CA
National Provider Identifier
1205301348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4343 Williamsbourgh Dr
Sacramento, CA 95823-2006 - Phone
- (916) 395-3552
- NPI assigned
- Oct 4, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | Primary |
Addresses
Primary practice location
4343 Williamsbourgh Dr
Sacramento, CA 95823-2006
Mailing address
1520 Covey Way
El Dorado HLS, CA 95762-9709
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1205301348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 COVEY WAY",
"city": "EL DORADO HLS",
"state": "CA",
"postal_code": "957629709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 WILLIAMSBOURGH DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232006",
"telephone_number": "916-395-3552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "MICHAEL",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.