Active NPI
Marisa Gonzalez, LMFT
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1154160158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG61663578
- Practice address
- 10001 S 1St St Apt 1334
Austin, TX 78748-6850 - Phone
- (806) 500-9133
- NPI assigned
- May 21, 2024
- Last updated
- Sep 16, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG61663578 | WA | Primary |
| Marriage & Family Therapist | 106H00000X | 205517 | TX | |
| Marriage & Family Therapist | 106H00000X | AMF000003 | PA |
Addresses
Primary practice location
10001 S 1St St Apt 1334
Austin, TX 78748-6850
Mailing address
1000 Haines St Apt 1303
Sinking Spring, PA 19608-6800
Phone (806) 500-9133
Other practice location 1
3344 Sheidy Ave
Reading, PA 19605-1637
Phone (512) 222-5732
Other practice location 2
100 N Howard St Ste R
Spokane, WA 99201-0508
Phone (512) 254-9577
Other names 1
- Marisa Derr
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMF000003 | PA | MD | Marriage & Family Therapist |
| 205517 | TX | MD | Marriage & Family Therapist |
| MG61663578 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juniper Therapy PLLC | Marriage & Family Therapist | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Austin, TX
- NPI 1013870724
-
- Marriage & Family Therapist
- Reading, PA
- NPI 1942121132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1154160158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HAINES ST APT 1303",
"city": "SINKING SPRING",
"state": "PA",
"postal_code": "196086800",
"telephone_number": "806-500-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 S 1ST ST APT 1334",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486850",
"telephone_number": "806-500-9133"
}
],
"practiceLocations": [
{
"address_1": "3344 Sheidy Ave",
"address_purpose": "LOCATION",
"city": "Reading",
"state": "PA",
"postal_code": "196051637",
"country_code": "US",
"telephone_number": "512-222-5732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N Howard St Ste R",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992010508",
"country_code": "US",
"telephone_number": "512-254-9577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARISA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-21",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG61663578",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "205517",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "AMF000003",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISA",
"last_name": "DERR",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.