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WAYNE ERIC GUSTAFSON D.MIN.
NPI 1851778757
Counselor - Mental Health in Ithaca, NY

Active since April 29, 2015
224 FOREST HOME DR, ITHACA, NY 14850(607) 857-0003 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wayne Eric Gustafson D.min. NPPES

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

WAYNE ERIC GUSTAFSON D.MIN. (NPI 1851778757) is an individual mental health provider in Ithaca, New York, licensed in New York (LMHC 002006) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1851778757
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWAYNE ERIC GUSTAFSONCredential: D.MIN.
Location Address224 FOREST HOME DRIthaca, NY 14850-2747
Mailing Address201 Rachel Carson WayIthaca, NY 14850-8402 · (607) 857-0003
Phone(607) 857-0003
Sole ProprietorYes
Enumeration DateApril 29, 2015
✔ NPI 1851778757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · LMHC 002006
Also ListedCounselor · PastoralTaxonomy 101YP1600X
224 FOREST HOME DR, Ithaca, NY 14850
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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 Wayne Gustafson's NPI number?

The NPI number for Wayne Gustafson is 1851778757. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Wayne Gustafson located?

Wayne Gustafson practices at 224 Forest Home Dr, Ithaca, NY 14850. The listed phone number is (607) 857-0003.

What is Wayne Gustafson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Wayne Gustafson was last updated on April 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.