Individual provider Active NPI

Gurpal Gill, RADT

  • Marriage & Family Therapist
  • Folsom, CA
National Provider Identifier
1427429612
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
129935 Issued in CA
Practice address
101 Parkshore Dr
Folsom, CA 95630-4726
Phone
(650) 564-4317
Fax
(916) 932-2001
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X R1433940621 CA
Marriage & Family Therapist 106H00000X 86303 CA
Marriage & Family Therapist 106H00000X 129935 CA Primary

Addresses

Primary practice location

101 Parkshore Dr
Folsom, CA 95630-4726

Mailing address

750 Spaans Dr Ste CDF
Galt, CA 95632-8609
Phone (209) 744-9909

Other practice location 1

750 Spaans Dr Ste Def
Galt, CA 95632-8609
Phone (209) 744-9909

Other practice location 2

3650 Auburn Blvd # C-208
Sacramento, CA 95821-2069
Phone (916) 300-6576

Other practice location 3

2130 Stockton Blvd Bldg 300
Sacramento, CA 95817-1337
Phone (916) 520-2460

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

State licenses

LicenseStateTypeSpecialty
R1433940621CAMDAddiction (Substance Use Disorder) Counselor
129935CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Practice Counseling Group Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1427429612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SPAANS DR STE CDF",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956328609",
            "telephone_number": "209-744-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARKSHORE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304726",
            "telephone_number": "650-564-4317",
            "fax_number": "916-932-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Spaans Dr Ste Def",
            "address_purpose": "LOCATION",
            "city": "Galt",
            "state": "CA",
            "postal_code": "956328609",
            "country_code": "US",
            "telephone_number": "209-744-9909",
            "fax_number": "209-744-9910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Auburn Blvd # C-208",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958212069",
            "country_code": "US",
            "telephone_number": "916-300-6576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Stockton Blvd Bldg 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171337",
            "country_code": "US",
            "telephone_number": "916-520-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "GURPAL",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1433940621",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86303",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.