Active NPI
William Michael Gayowski, MFT
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1558678466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 83696
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83696 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1164820874
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.