Mindful Revamp, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MINDFUL REVAMP, INC.

Practice address

9497 Jack Rabbit Dr Unit 106
Rancho Cucamonga, CA 91730-2778

Phone

(909) 904-5152

NPI assigned

Jul 18, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Gabrielle Rose Gonzalez, LMFTNPI 1316466428

Title

Ceo

Phone

(909) 904-5152

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabrielle Rose Gonzalez, MASTERS

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
  • NPI 1316466428
  NPD Authorized official

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1407748866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 ARCHIBALD AVE # 1005",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015017",
            "telephone_number": "909-904-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9497 JACK RABBIT DR UNIT 106",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917302778",
            "telephone_number": "909-904-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL REVAMP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-904-5152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Minas
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• Mind Evolve Center a Licensed Clinical Social Worker Corporation
• Mindful Solutions Mental Health & Support Services
• Mindset Matters Performance LLC
• Minh N Truong DDS, Inc
• Jessica Miranda
• Jessie Emmanuel Miranda

• Marriage & Family Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Jul 18, 2025; 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.