Charleen Gonzalez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3328 Issued in FL

Practice address

10720 Caribbean Blvd Ste 320
Cutler Bay, FL 33189-1244

Phone

(305) 668-9000

Fax

(786) 231-5880

NPI assigned

Jul 3, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: charleengonzalez@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1356862007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ROYAL POINCIANA BLVD STE 300",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331666667",
            "telephone_number": "305-668-9000",
            "fax_number": "305-662-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 CARIBBEAN BLVD STE 320",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891244",
            "telephone_number": "305-668-9000",
            "fax_number": "786-231-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHARLEEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yilse Gonzalez Perez
• Amanda Gonzalez
• Ana Maria Gonzalez
• Angelica Karina Gonzalez, RBT
• Barbara O Gonzalez, RPH
• Connie Remolina Gonzalez
• Daniel Alejandro Gonzalez
• Farah Gonzalez, PHARMD
• Hayleen Gonzalez
• Jeremy Gonzalez

• All providers in Cutler Bay, FL
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.