Individual provider Active NPI

Gregory F. Gooden, LMFT

  • Marriage & Family Therapist
  • Pomona, CA
National Provider Identifier
1053835801
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110967 Issued in CA
Practice address
371 Cindy CT
Pomona, CA 91767-2831
Phone
(818) 415-2100
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 122965 CA
Marriage & Family Therapist 106H00000X 110967 CA Primary

Addresses

Primary practice location

371 Cindy CT
Pomona, CA 91767-2831

Mailing address

371 Cindy CT
Pomona, CA 91767-2831
Phone (818) 415-2100

Other practice location 1

160 N El Molino Ave
Pasadena, CA 91101-1805
Phone (626) 792-2770 ext. 13

Other practice location 2

520 E Wilson Ave Ste 245
Glendale, CA 91206-4356
Phone (818) 415-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 7, 2024 through Mar 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
122965CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emergence Therapy, Inc. Addiction (Substance Use Disorder) CurrentSince Nov 24, 2025 Accepting new patients

Locations

520 E Wilson Ave
Ste 245
Glendale, CA 91206
Phone (650) 796-5447

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1053835801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 CINDY CT",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672831",
            "telephone_number": "818-415-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 CINDY CT",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672831",
            "telephone_number": "818-415-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N El Molino Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911011805",
            "country_code": "US",
            "telephone_number": "626-792-2770 x13",
            "fax_number": "626-792-5826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 E Wilson Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064356",
            "country_code": "US",
            "telephone_number": "818-415-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "GREGORY",
        "middle_name": "F.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "122965",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.