Active NPI
Enrica Gonzalez Malone, MFT
- Marriage & Family Therapist
- The Woodlands, TX
National Provider Identifier
1619226222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202494
- Practice address
- 25511 Budde Rd
The Woodlands, TX 77380-2080 - Phone
- (936) 828-4080
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 52951 | CA | |
| Marriage & Family Therapist | 106H00000X | 202494 | TX | Primary |
Addresses
Primary practice location
25511 Budde Rd
The Woodlands, TX 77380-2080
Mailing address
25511 Budde Rd Ste 1502
Spring, TX 77380-2081
Phone (619) 804-1176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 28, 2024 through Feb 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202494 | TX | MD | Marriage & Family Therapist |
| 52951 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1619226222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25511 BUDDE RD STE 1502",
"city": "SPRING",
"state": "TX",
"postal_code": "773802081",
"telephone_number": "619-804-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25511 BUDDE RD",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802080",
"telephone_number": "936-828-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "ENRICA",
"middle_name": "GONZALEZ",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52951",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.