Active NPI
Kattrina Gonzalez, LMFT
- Marriage & Family Therapist
- Madison, FL
National Provider Identifier
1235655689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4476
- Practice address
- 235 SW Dade St
Madison, FL 32340-2363 - Phone
- (850) 973-7871
- NPI assigned
- Aug 17, 2017
- Last updated
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT4476 | FL | Primary |
Addresses
Primary practice location
235 SW Dade St
Madison, FL 32340-2363
Mailing address
235 SW Dade St
Madison, FL 32340-2363
Phone (850) 973-7871
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 |
|---|---|---|---|
| MT4476 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida United Methodist Childrens Home, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Pinetta, FL
- NPI 1699355818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1235655689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 SW DADE ST",
"city": "MADISON",
"state": "FL",
"postal_code": "323402363",
"telephone_number": "850-973-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 SW DADE ST",
"city": "MADISON",
"state": "FL",
"postal_code": "323402363",
"telephone_number": "850-973-7871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KATTRINA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, FL
- Racheal Shawntell Gee
- Shamika S Ghent-Thornton, MSW
- Kristina Gilbert
- Alexis Nicole Goins, RDH
- Golden Health of Florida LLC (Golden Health of Florida)
- Gracey & Mercy Medical Transport LLC
- Eric L Green, P.T.A.
- Thomas Harvey Greene III, P.A.-C.
- Hawk Health Systems LLC (Madison Life Spring Clinic)
- Shirley Haynes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.