Active NPI
New Leaf Counseling and Psychotherapy
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1366940504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84009
- Legal business name
- NEW LEAF COUNSELING AND PSYCHOTHERAPY
- Practice address
- 1030 2N Street
Suite B
Santa Rosa, CA 95404 - Phone
- (707) 387-4146
- Fax
- (707) 843-5608
- NPI assigned
- Jan 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gayle Janet Whitlock, LMFT
- Title
- Owner/Therapist
- Phone
- (707) 387-8414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 84009 | CA | Primary |
Addresses
Primary practice location
1030 2N Street
Suite B
Santa Rosa, CA 95404
Mailing address
1030 2N Street
Suite B
Santa Rosa, CA 95404
Phone (707) 387-4146
National Provider Directory
National Provider DirectoryLocations
1030 2nd St
Ste B
Santa Rosa, CA 95404
Phone (707) 387-4146
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Santa Rosa, CA
- NPI 1639483167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516665600000",
"number": "1366940504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 2N STREET",
"address_2": "SUITE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95404",
"telephone_number": "707-387-4146",
"fax_number": "707-843-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 2N STREET",
"address_2": "SUITE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95404",
"telephone_number": "707-387-4146",
"fax_number": "707-843-5608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LEAF COUNSELING AND PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A",
"authorized_official_last_name": "WHITLOCK",
"authorized_official_first_name": "GAYLE",
"authorized_official_middle_name": "JANET",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "707-387-8414",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.