Active NPI
Alicia Gonzalez
- Marriage & Family Therapist
- Weed, CA
National Provider Identifier
1285511774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT154362
- Practice address
- 575 White Ave
Weed, CA 96094-2431 - Phone
- (530) 598-9728
- NPI assigned
- Aug 18, 2025
- Last updated
- Aug 18, 2025
- 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 | AMFT154362 | CA | Primary |
Addresses
Primary practice location
575 White Ave
Weed, CA 96094-2431
Mailing address
609 Sunset Dr
Mount Shasta, CA 96067-9106
Phone (530) 351-8292
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 |
|---|---|---|---|
| AMFT154362 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal Experiential LLC | Current | Accepting new patients |
Locations
575 White Ave
Weed, CA 96094
Phone (530) 598-9728
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
- Weed, CA
- NPI 1083582704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1285511774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 SUNSET DR",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679106",
"telephone_number": "530-351-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 WHITE AVE",
"city": "WEED",
"state": "CA",
"postal_code": "960942431",
"telephone_number": "530-598-9728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT154362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weed, CA
- Depaoli Chiropractic Services, Inc. (Weed Chiropractic Clinic)
- Geno Lowell Depaoli, DC
- Dignity Health (Mercy Lake Shastina Community Clinic)
- Scott F Durbin, D.C.
- DWM Ventures LLC (Liberty Home Health Services/Cascade Health Services)
- Debra Lynne Gordon, FNP-C
- Vivian Hartz
- Heal Experiential LLC
- Health Quest Physical Therapy & Fitness Center, Inc.
- Monica Highfill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.