Gwen Burson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

36715 Issued in CA

Practice address

11344 Coloma Rd
Suite 250
Gold River, CA 95670-4457

Phone

(916) 501-6706

Fax

(916) 852-5838

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730250069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD",
            "address_2": "SUITE 250",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704457",
            "telephone_number": "916-501-6706",
            "fax_number": "916-852-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD",
            "address_2": "SUITE 250",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704457",
            "telephone_number": "916-501-6706",
            "fax_number": "916-852-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSON",
        "first_name": "GWEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon Austin Bollinger, RPT
• Sydney Brahm
• Warren Frank Brandle, M.D.
• Al Brooks, MD
• Randy Brown, OD
• Harry James Buzbuzian Jr., M.D.
• Kathryn J. Cann, LCSW
• Jason Andrew Cantrill
• Center for Post Traumatic Growth
• Lisa Mary Charlebois, L.C.S.W.

• Marriage & Family Therapist in Gold River, CA
• Providers in Gold River, CA by specialty
• Marriage & Family Therapist in California

• 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.

Verify at the official NPI Registry.