Martha Elena Gonzalez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

104628 Issued in CA

Practice address

11351 Dale St
Garden Grove, CA 92841-1545

Phone

(714) 495-1626

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1124519095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 E SANTA ANA BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013943",
            "telephone_number": "714-495-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 DALE ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411545",
            "telephone_number": "714-495-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARTHA",
        "middle_name": "ELENA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "130100488",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "104628",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Itzel Gonzalez
• Joshua Adam Gonzalez
• Karen Yvette Gonzalez
• Maria Gonzalez
• Mark Gonzalez
• Priscila Gonzalez
• Yasmin Gonzalez
• Good Hands Home Care, LLC
• Good Heart Nurse
• Good Night Sleep Clinic, Inc

• Marriage & Family Therapist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.