Gertrude Anne Bonincontro, MFT

Individual provider Active NPI Mental Health Counselor · Cupertino, CA

NPI 1407907736 · NPPES record last updated Apr 13, 2026

Key facts

NPI
1407907736
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MFT 53792 (CA)
Practice address
19000 Homestead Rd
Cupertino, CA 95014-0712
Phone
(408) 828-3937
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240115001408 CA Practitioner - Marriage and Family Therapist 1254783335 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
MFT 53792CAMDMental Health Counselor
3271369IDMDMarriage & Family Therapist
16305MTMDMarriage & Family Therapist
4635-RNVMDMarriage & Family Therapist
70005714WAMDMarriage & Family Therapist
53792CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc Current
since Jan 1, 2024
Accepting new patients
Permanente Medical Group Inc Current
since Jan 1, 2024
Accepting new patients
Permanente Medical Group Inc Current Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

19000 Homestead Rd
Cupertino, CA 95014
Phone (408) 366-4200

2155 Iron Point Rd
Folsom, CA 95630
Phone (916) 817-5000

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 53792 CA
Marriage & Family Therapist 106H00000X 16305 MT
Marriage & Family Therapist 106H00000X 70005714 WA
Marriage & Family Therapist 106H00000X 4635-R NV
Mental Health Counselor 101YM0800X MFT 53792 CA Yes
Marriage & Family Therapist 106H00000X 3271369 ID

Addresses

Primary practice location

19000 Homestead Rd
Cupertino, CA 95014-0712

Mailing address

212 W Ironwood Dr Ste D
Coeur D Alene, ID 83814-1403
Phone (408) 828-3937

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Other providers in Cupertino, CA

All providers in Cupertino, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.