Active NPI
Gary Stanoff, LMFT
- Professional Counselor
- Vacaville, CA
National Provider Identifier
1679237408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MFT38733
- Practice address
- 313 Kendal St
Vacaville, CA 95688-3960 - Phone
- (707) 330-7904
- NPI assigned
- Oct 27, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MFT38733 | CA | Primary |
Addresses
Primary practice location
313 Kendal St
Vacaville, CA 95688-3960
Mailing address
PO Box 111
Clayton, CA 94517-0111
Phone (925) 285-1025
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 |
|---|---|---|---|
| MFT38733 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration First Responder Foundation | Current | Accepting new patients |
Locations
313 Kendal St
Vacaville, CA 95688
Phone (707) 330-7904
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.
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1194691105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1679237408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "CLAYTON",
"state": "CA",
"postal_code": "945170111",
"telephone_number": "925-285-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 KENDAL ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956883960",
"telephone_number": "707-330-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANOFF",
"first_name": "GARY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "MFT38733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.