William Gammon

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

18402 Issued in KY

Practice address

920 Frederica St Ste 105
Owensboro, KY 42301-3076

Phone

(270) 215-1827

NPI assigned

May 11, 2017

Last updated

Dec 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revive Life Ministries, Inc.

  dba CrossPointe Wellness

  • Community/Behavioral Health Agency
  • Owensboro, KY
  • NPI 1205349586

  Pastoral

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1326574278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423020322",
            "telephone_number": "270-215-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 105",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013076",
            "telephone_number": "270-215-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "ZZ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "KY",
            "license": "18402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gaither, RD, LD, CDE
• Cynthia E Galloway, M.S.,CCC-SLP
• Winona C Galloway
• Ernestina F Gambrah, MD, MA
• Lisa Michelle Gammenthaler, CRNA
• Tara Beth Gann, LCSW
• Paul Anthony Garner, M.D.
• Kamille Annette Garness, MD, MPH, CPH, BS
• Garrard Therapeutic Partners, LLC
• Brent Christopher Garrard, LPCC

• Pastoral Counselor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Pastoral Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.