MS. MARY VASTE GILLIS MFT
NPI 1548485642
Marriage & Family Therapist in Petaluma, CA
About Ms. Mary Vaste Gillis Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY VASTE GILLIS MFT (NPI 1548485642) is an individual marriage & family therapist in Petaluma, California, licensed in California (MFT29225) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Mary Vaste Gillis Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 Mary Gillis's NPI number?
The NPI number for Mary Gillis is 1548485642. It was assigned to this individual provider in the NPPES registry on April 16, 2007.
Where is Mary Gillis located?
Mary Gillis practices at 115 Liberty St Ste 1, Petaluma, CA 94952. The listed phone number is (707) 765-9021.
What is Mary Gillis's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mary Gillis enrolled in Medicare?
Yes. Mary Gillis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Mary Gillis was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Mary Vaste Gillis, MFT · NPI 1548485642
Marriage & Family Therapist provider in Petaluma, California. Individual provider, active in the CMS NPPES registry since April 16, 2007.
## Identity
- **NPI:** 1548485642 (Entity type: Individual)
- **Enumerated:** April 16, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFT29225 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 115 LIBERTY ST STE 1, Petaluma, CA 94952-2320
- **Phone:** (707) 765-9021
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** August 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1548485642) · Data from the CMS NPPES public registry.