Individual provider Active NPI

Sage Elise Gonzalez, LMFT

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1548792864
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130443 Issued in CA
Practice address
1577 E Chevy Chase Dr Ste 120
Glendale, CA 91206-4193
Phone
(818) 240-0340
NPI assigned
Mar 28, 2017
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 130443 CA Primary

Addresses

Primary practice location

1577 E Chevy Chase Dr Ste 120
Glendale, CA 91206-4193

Mailing address

PO Box 5114
Crestline, CA 92325-5114
Phone (909) 714-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130443CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc Single Specialty CurrentSince Sep 1, 2026 Accepting new patients
Sage Collective Counseling Marriage & Family Therapist CurrentSince Aug 17, 2025 Accepting new patients

Locations

1577 E Chevy Chase Dr
Ste 120
Glendale, CA 91206
Phone (818) 240-0340

Organizations & group practices 2

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1548792864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5114",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923255114",
            "telephone_number": "909-714-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064193",
            "telephone_number": "818-240-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SAGE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.