Gladys Gonzales, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

84386 Issued in CA

Practice address

2400 Fenton St Ste 210
Chula Vista, CA 91914-4556

Phone

(619) 763-0124

Fax

(619) 566-4076

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1316008816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FENTON ST STE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144556",
            "telephone_number": "619-763-0124",
            "fax_number": "619-566-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FENTON ST STE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144556",
            "telephone_number": "619-763-0124",
            "fax_number": "619-566-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "GLADYS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL INSURANCES",
            "identifier": "1316008816",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Marie Goncalves, BA
• Dhruvika Gondalia, PT
• Cristy Gonzales, RN, BSN
• Fatima Ponio Gonzales
• Fred Daniel Gonzales
• Jacqueline Gonzales
• Leah Gonzales
• Mercy Gonzales
• Tim Gonzales
• Edith Gonzalez Cervantes

• Marriage & Family Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.