Ann M Gaylord, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

482-124 Issued in WI

Practice address

1825 Riverside Dr
Green Bay, WI 54301-2316

Phone

(920) 272-8234

Fax

(920) 437-4067

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities of the Diocese of Green Bay Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Green Bay, WI
  • NPI 1376769117
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1609943364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 RIVERSIDE DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012316",
            "telephone_number": "920-272-8234",
            "fax_number": "920-364-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 RIVERSIDE DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012316",
            "telephone_number": "920-272-8234",
            "fax_number": "920-437-4067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 Opportunity Way",
            "address_purpose": "LOCATION",
            "city": "Menasha",
            "state": "WI",
            "postal_code": "549521293",
            "country_code": "US",
            "telephone_number": "920-272-8234",
            "fax_number": "920-437-4067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYLORD",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "482-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39707500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Louise Gates, APNP
• Zachariah Thomas Gauerke, DC
• Michelle Gauger, MSE, LPC, SAC
• Umang Gautam, MD
• Kerry A Gay, LPN
• William Gear, PHD, LAT, ATC
• Geetha S. Murthy M.D., S.C.
• Debra L Gegare, LPN
• Robert E Gehringer, MD
• Jesse E Gehrung, PT

• Marriage & Family Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.