Jo Ann Christina Gong

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

129909 Issued in CA

Practice address

3919 Macdonald Ave
Richmond, CA 94805-2229

Phone

(510) 233-7555

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Community Health for Asian Americans

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1518015866
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1225704554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052229",
            "telephone_number": "510-233-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052229",
            "telephone_number": "510-233-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "JO ANN",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Evelyn Goff
• Rae Ann Goldberg, M.A.
• Robert D. Goldfien, MD
• Mandy Gomez-Villia
• Elizabeth Gomez
• Hugo L Gonzales, MFT
• Cynthia A Gonzalez
• Leslie Paola Gonzalez, BA
• Samely M Gonzalez
• Gina Mischele Goodrich, PSY.D.

• Marriage & Family Therapist in Richmond, CA
• Providers in Richmond, 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 Feb 7, 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.