Individual provider Active NPI

Jessica Gonzalez

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1295546331
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT4133 Issued in FL
Practice address
7342 SW 80TH Street PLZ Apt 173
Miami, FL 33143-7451
Phone
(786) 217-4684
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT4133 FL Primary

Addresses

Primary practice location

7342 SW 80TH Street PLZ Apt 173
Miami, FL 33143-7451

Mailing address

7342 SW 80TH Street PLZ Apt 173
Miami, FL 33143-7451
Phone (786) 217-4684

Other practice location 1

15924 SW 92nd Ave
Palmetto Bay, FL 33157-1842
Phone (305) 964-5824

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

LicenseStateTypeSpecialty
IMT4133FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1295546331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 SW 80TH STREET PLZ APT 173",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437451",
            "telephone_number": "786-217-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 SW 80TH STREET PLZ APT 173",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437451",
            "telephone_number": "786-217-4684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15924 SW 92nd Ave",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331571842",
            "country_code": "US",
            "telephone_number": "305-964-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT4133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.