Individual provider Active NPI

William Michael Gayowski, MFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1558678466
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
83696 Issued in CA
Practice address
2400 County Center Dr # a
Santa Rosa, CA 95403-3004
Phone
(707) 321-9876
NPI assigned
Sep 13, 2010
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Marriage & Family Therapist 106H00000X 83696 CA Primary

Addresses

Primary practice location

2400 County Center Dr # a
Santa Rosa, CA 95403-3004

Mailing address

2227 Capricorn Way Ste 210
Santa Rosa, CA 95407-5486
Phone (707) 565-6672

Other practice location 1

2519 Edgewater Dr
Santa Rosa, CA 95407-4588
Phone (707) 775-7854

Other practice location 2

2227 Capricorn Way Ste 210
Santa Rosa, CA 95407-5486
Phone (707) 565-6672

Other names 1

  • Mr. Will Michael Gayowski Other name

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
83696CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1558678466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 CAPRICORN WAY STE 210",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075486",
            "telephone_number": "707-565-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COUNTY CENTER DR # A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033004",
            "telephone_number": "707-321-9876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2519 Edgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954074588",
            "country_code": "US",
            "telephone_number": "707-775-7854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2227 Capricorn Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075486",
            "country_code": "US",
            "telephone_number": "707-565-6672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYOWSKI",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILL",
            "last_name": "GAYOWSKI",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 22, 2023; 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.