Active NPI
Robert M Gerfy, B.A.
- Addiction (Substance Use Disorder) Counselor
- Friday Harbor, WA
National Provider Identifier
1447453873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP 247
- Practice address
- 520 Spring St
Friday Harbor, WA 98250-8057 - Phone
- (360) 378-2669
- NPI assigned
- Jun 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP 247 | WA | Primary |
Addresses
Primary practice location
520 Spring St
Friday Harbor, WA 98250-8057
Mailing address
21 Gull PL
Lopez Island, WA 98261-8355
Phone (360) 468-4994
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP 247 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447453873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GULL PL",
"city": "LOPEZ ISLAND",
"state": "WA",
"postal_code": "982618355",
"telephone_number": "360-468-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SPRING ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982508057",
"telephone_number": "360-378-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERFY",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CDP 247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.