Individual provider Active NPI

Gonzalo Venecia, LMFT

  • Marriage & Family Therapist
  • West Hollywood, CA
National Provider Identifier
1366052557
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
118829 Issued in CA
Practice address
8235 Santa Monica Blvd FL 4
West Hollywood, CA 90046-5914
Phone
(323) 854-4669
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 118829 CA Primary

Addresses

Primary practice location

8235 Santa Monica Blvd FL 4
West Hollywood, CA 90046-5914

Mailing address

3858 Seneca Ave
Los Angeles, CA 90039-1637
Phone (323) 854-4669

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

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1366052557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 SENECA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391637",
            "telephone_number": "323-854-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD FL 4",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465914",
            "telephone_number": "323-854-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENECIA",
        "first_name": "GONZALO",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.