Individual provider Active NPI

Alberto J Gonzalez

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1487127015
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124828 Issued in CA
Practice address
1125 E Clark Ave Ste A3
Santa Maria, CA 93455-5153
Phone
(805) 242-6634
NPI assigned
Jan 7, 2019
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Marriage & Family Therapist 106H00000X 124828 CA Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

1125 E Clark Ave Ste A3
Santa Maria, CA 93455-5153

Mailing address

1125 E Clark Ave Ste A3
Santa Maria, CA 93455-5153

Other practice location 1

210 E Enos Dr Ste A
Santa Maria, CA 93454-7215
Phone (805) 614-9160

Other practice location 2

112 W Jones St Ste 1
Santa Maria, CA 93458-5605
Phone (805) 264-3661

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
124828CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
I'M All Ears Marriage and Family Therapy, Inc. Marriage & Family Therapist Current Accepting new patients
Santa Barbara County Auditor Past Accepting new patients
Calm, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1487127015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E CLARK AVE STE A3",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E CLARK AVE STE A3",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555153",
            "telephone_number": "805-242-6634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E Enos Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934547215",
            "country_code": "US",
            "telephone_number": "805-614-9160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 W Jones St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934585605",
            "country_code": "US",
            "telephone_number": "805-264-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALBERTO",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124828",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.