Active NPI
Gladys Kohn
- Mental Health Counselor
- Fairfield, CA
National Provider Identifier
1245476944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1019 Oliver Rd
# 238
Fairfield, CA 94534-3466 - Phone
- (707) 342-2392
- NPI assigned
- Dec 30, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1019 Oliver Rd
# 238
Fairfield, CA 94534-3466
Mailing address
PO Box 2377
Suisun City, CA 94585-5377
Phone (707) 342-2392
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": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1245476944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2377",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945855377",
"telephone_number": "707-342-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 OLIVER RD",
"address_2": "# 238",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945343466",
"telephone_number": "707-342-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHN",
"first_name": "GLADYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-30",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.