Individual provider Active NPI

Sarah Gonzalez, LMFT

  • Marriage & Family Therapist
  • East Lansing, MI
National Provider Identifier
1386086403
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006926 Issued in MI
Practice address
2970 E Lake Lansing Rd
East Lansing, MI 48823-7415
Phone
(517) 230-5695
Fax
(855) 978-1293
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006926 MI Primary
Marriage & Family Therapist 106H00000X MFT00156 RI

Addresses

Primary practice location

2970 E Lake Lansing Rd
East Lansing, MI 48823-7415

Mailing address

2970 E Lake Lansing Rd
East Lansing, MI 48823-7415
Phone (517) 230-5695

Other practice location 1

105 Sockanosset Cross Rd Ste 102
Cranston, RI 02920
Phone (401) 475-9979 ext. 466

Other practice location 2

55 Hope St
Providence, RI 02906-2001
Phone (401) 331-1350

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
4101006926MIMDMarriage & Family Therapist
MFT00156RIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1386086403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 E LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237415",
            "telephone_number": "517-230-5695",
            "fax_number": "855-978-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 E LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237415",
            "telephone_number": "517-230-5695",
            "fax_number": "855-978-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Sockanosset Cross Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "02920",
            "country_code": "US",
            "telephone_number": "401-475-9979 x466",
            "fax_number": "401-475-9917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Hope St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062001",
            "country_code": "US",
            "telephone_number": "401-331-1350",
            "fax_number": "401-277-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006926",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MFT00156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.