Gaea Keridwyn Coon

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102196 Issued in CA

Practice address

850 3Rd St
Santa Rosa, CA 95404-4529

Phone

(707) 591-5766

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1982135992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 RATERS DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094382",
            "telephone_number": "707-481-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 3RD ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044529",
            "telephone_number": "707-591-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "GAEA",
        "middle_name": "KERIDWYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Cook, DDS
• Shirley Ann Cook, PT
• Timothy Cook, D.C., B.S.N
• Jean E. Cool, MD
• Gary John Coomber, MD
• Christy Helen Cooper, AU.D.
• Graham Elliot Rome Cooper, PHD
• Heather Nicole Cooper
• Lawrence Richard Cooper, M.D.
• Lionel C Cooper, MS, PPS, LMFT

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jun 2, 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.

Verify at the official NPI Registry.