Jacquelyn Gonzalez Marriage & Family Therapy, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JACQUELYN GONZALEZ MARRIAGE & FAMILY THERAPY, INC

Practice address

647 Veterans Blvd Ste a
Redwood City, CA 94063-1441

Phone

(650) 670-0690

NPI assigned

Apr 21, 2025

Organization subpart

No

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

Authorized official

Name

Jacquelyn Gonzalez, LMFT, LPCCNPI 1073189361

Title

LMFT, LPCC

Phone

(650) 716-7671

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquelyn Gonzalez

  • Mental Health Counselor
  • San Carlos, CA
  • NPI 1073189361
  NPD Authorized official

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1255128641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E BAYSHORE RD SPC 112",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940634102",
            "telephone_number": "650-716-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 VETERANS BLVD STE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631441",
            "telephone_number": "650-670-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN GONZALEZ MARRIAGE & FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "LMFT, LPCC",
        "authorized_official_telephone_number": "650-716-7671",
        "authorized_official_credential": "LMFT, LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Tran-Nguyen MD Inc
• Cristian Elian Jackson
• Evelyn Rosie Jackson
• Louvenia C Jackson
• Adam Jacobowitz
• Isaiah Manuel Jacques, MD
• Matthew Jaffe
• Wali Jahangiri, MD
• Lanae Jaimez, PHD
• Anagha V Jain, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.