Active NPI
Cora Brooke Gonzalez
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1053238790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT162318
- Practice address
- 2034 Cotner Ave Ste 200
Los Angeles, CA 90025-5664 - Phone
- (818) 335-5200
- NPI assigned
- Jul 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT162318 | CA | Primary |
Addresses
Primary practice location
2034 Cotner Ave Ste 200
Los Angeles, CA 90025-5664
Mailing address
6018 Malton Ave
Simi Valley, CA 93063-3738
Phone (747) 224-6131
Other names 1
- Ms. Cora Brooke Stucker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Family Therapy Services Inc. | Mental Health | Past | Accepting new patients |
| Alliance Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1194218537
-
- Mental Health Counselor
- Los Angeles, CA
- NPI 1457962680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1053238790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6018 MALTON AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930633738",
"telephone_number": "747-224-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2034 COTNER AVE STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255664",
"telephone_number": "818-335-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CORA",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-02",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT162318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORA",
"last_name": "STUCKER",
"middle_name": "BROOKE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.