Active NPI
Gayle Lindsay Slaten Herman, M.S., MFT
- Marriage & Family Therapist
- Lakebay, WA
National Provider Identifier
1285658179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00002663
- Practice address
- 209 W Herron Boulevard KP N
Lakebay, WA 98349-8186 - Phone
- (916) 783-7254
- Fax
- (253) 884-1248
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC24750 | CA | |
| Marriage & Family Therapist | 106H00000X | LF00002663 | WA | Primary |
Addresses
Primary practice location
209 W Herron Boulevard KP N
Lakebay, WA 98349-8186
Mailing address
209 W Herron Boulevard KP N
Lakebay, WA 98349-8186
Phone (916) 783-7254
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A137329 | Other | CA | VALUE OPTIONS |
| 1021-02 | Other | CA | PACIFICARE |
| ZZZ56345Z | Other | CA | BLUE SHIELD |
| 0001067987 | Other | CA | MHN |
Other names 1
- Ms. Gayle Lindsay Barone
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 |
|---|---|---|---|
| MFC24750 | CA | MD | Marriage & Family Therapist |
| LF00002663 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1285658179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 W HERRON BOULEVARD KP N",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "983498186",
"telephone_number": "916-783-7254",
"fax_number": "253-884-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W HERRON BOULEVARD KP N",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "983498186",
"telephone_number": "916-783-7254",
"fax_number": "253-884-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "GAYLE",
"middle_name": "LINDSAY SLATEN",
"name_prefix": "Mrs.",
"credential": "M.S., MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC24750",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00002663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A137329",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "1021-02",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ56345Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "0001067987",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GAYLE",
"last_name": "BARONE",
"middle_name": "LINDSAY",
"prefix": "MS.",
"credential": "M.S., MFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakebay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.