MR. WALTER VINCENT GILLES (NPI# 1972777605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972777605 |
Entity Type | Individual |
Full Name | MR. WALTER VINCENT GILLES |
Credential | LICENSED LMFT |
Practice Address |
301 S Miller St Ste 121 Santa Maria CA 93454 |
Mailing Address |
Po Box 874 Nipomo CA 93444-0874 |
Practice Telephone | 8059255470 |
Mailing Telephone | 8059314234 |
Enumeration Date | 2008-04-14 |
Last Update Date | 2018-08-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 107002 | CA | Behavioral Health & Social Service Providers |
Street Address |
301 S MILLER ST STE 121 |
City | SANTA MARIA |
State | CA |
Zip Code | 93454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962689539 | Ole Von Frausing-borch | Marriage & Family Therapist | 301 S Miller St Ste 121, Santa Maria, CA 93454-5243 | 2008-01-26 |
1336774694 | Andrina Jensen | Marriage & Family Therapist | 301 S Miller St Ste 121, Santa Maria, CA 93454-5243 | 2020-03-06 |
1619502119 | Deborah Leigh Bayles | Counselor | 301 S Miller St Ste 121, Santa Maria, CA 93454-5243 | 2020-03-05 |
1730723008 | Robyn R Ramsay | Counselor | 301 S Miller St Ste 121, Santa Maria, CA 93454-5243 | 2019-10-30 |
1306303425 | Rachel Anne Seifert | Marriage & Family Therapist | 301 S Miller St Ste 121, Santa Maria, CA 93454-5243 | 2019-02-25 |
1336606870 | Anthony R Garcia | Marriage & Family Therapist | 301 S Miller St Ste 121, Santa Maria, CA 93454-5243 | 2019-02-20 |
1295014504 | Ruby Balcazar | Marriage & Family Therapist | 301 S Miller St Ste 121, Santa Maria, CA 93454-5243 | 2011-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
Find all providers in zip 93454 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477196152 | Jorge Luis Camacho Zepeda | Marriage & Family Therapist | 1919 Sandalwood Dr, Santa Maria, CA 93455-2863 | 2019-10-24 |
1619521564 | Jose Alfredo Mejia | Marriage & Family Therapist | 112 W Jones St Ste 1, Santa Maria, CA 93458-5605 | 2019-07-29 |
1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
1679992473 | Karen Ann Mcdermott | Marriage & Family Therapist | 201 S Miller Street Suite 103, Santa Maria, CA 93454 | 2014-04-09 |
1780011437 | Dwayne Nickerson | Marriage & Family Therapist | 301 S Miller St Ste 112, Santa Maria, CA 93454 | 2013-09-26 |
1679813497 | Leslie Rae Anderson | Marriage & Family Therapist | 505 S Mcclelland St Ste A, Santa Maria, CA 93454-5186 | 2013-02-15 |
1659645869 | Raymond Cisneros | Marriage & Family Therapist | 117 W Tunnel Street, Santa Maria, CA 93454 | 2012-03-06 |
1730469057 | Katie Fuller | Marriage & Family Therapist | 610 Sunrise Dr, 4b, Santa Maria, CA 93455-2178 | 2011-08-17 |
1528204633 | Jasmin Frankhauser | Marriage & Family Therapist | 526 E Mill St, Santa Maria, CA 93454-4536 | 2008-12-18 |
1831346816 | Sandra Provencio | Marriage & Family Therapist | 201 S Miller St Ste 103, Santa Maria, CA 93454-5248 | 2008-08-21 |
Find all providers in SANTA MARIA |
City | SANTA MARIA |
Zip Code | 93454 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.