GARY SMITH
NPI 1023425170
Counselor in Petaluma, CA

Q: What is Gary Smith's NPI number?

The NPI number for Gary Smith is 1023425170. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Q: What is Gary Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Smith was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2014

3539 SKILLMAN LN, PETALUMA, CA 94952(707) 765-6555 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gary Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY SMITH (NPI 1023425170) is an individual counselor in Petaluma, California and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1023425170

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameGARY SMITH

Location Address3539 SKILLMAN LNPetaluma, CA 94952-1208

Mailing Address365 Kuck LnPetaluma, CA 94952-9606 · (707) 795-6954

Phone(707) 765-6555

Sole ProprietorNo

Enumeration DateJuly 21, 2014

✔ NPI 1023425170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3539 SKILLMAN LN, Petaluma, CA 94952

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATI SMITH

Counselor

3539 SKILLMAN LN
PETALUMA, CA 94952

Sonoma County (707) 765-6555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Smith's NPI number?

The NPI number for Gary Smith is 1023425170. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Gary Smith located?

Gary Smith practices at 3539 Skillman Ln, Petaluma, CA 94952. The listed phone number is (707) 765-6555.

What is Gary Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Gary Smith was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.