Active NPI
Gayle Marie Coons
- Mental Health Counselor
- Palo Cedro, CA
National Provider Identifier
1730240383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC19972
- Practice address
- 10715 Deschutes Rd.
Palo Cedro, CA 96073-0117 - Phone
- (530) 549-4019
- Fax
- (530) 549-4252
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC19972 | CA | Primary |
Addresses
Primary practice location
10715 Deschutes Rd.
Palo Cedro, CA 96073-0117
Mailing address
10715 Deschutes Rd.
P O Box 117
Palo Cedro, CA 96073
Phone (530) 549-4019
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 |
|---|---|---|---|
| MFC19972 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730240383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10715 DESCHUTES RD.",
"address_2": "P O BOX 117",
"city": "PALO CEDRO",
"state": "CA",
"postal_code": "96073",
"telephone_number": "530-549-4019",
"fax_number": "530-549-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10715 DESCHUTES RD.",
"city": "PALO CEDRO",
"state": "CA",
"postal_code": "960730117",
"telephone_number": "530-549-4019",
"fax_number": "530-549-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONS",
"first_name": "GAYLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC19972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Cedro, CA
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.