Individual provider Active NPI

Aaliyah Breanna Velez Gonzalez, MS

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1306549811
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138629 Issued in CA
Practice address
1065 S St
Fresno, CA 93721-1406
Phone
(559) 497-5056
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 138629 CA Primary

Addresses

Primary practice location

1065 S St
Fresno, CA 93721-1406

Mailing address

1065 S St
Fresno, CA 93721-1406
Phone (559) 497-5056

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
138629CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Community Solutions Institute CurrentSince Mar 26, 2023 Accepting new patients

Locations

1065 S St
Fresno, CA 93721
Phone (559) 256-2150

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1306549811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 S ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211406",
            "telephone_number": "559-497-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 S ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211406",
            "telephone_number": "559-497-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ GONZALEZ",
        "first_name": "AALIYAH",
        "middle_name": "BREANNA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.