Individual provider Active NPI

Donna Stephanie Gonzalez, MS AMFT

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1619783149
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124025 Issued in CA
Practice address
201 E Main St Unit N
Santa Maria, CA 93454-4476
Phone
(805) 364-2105
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 124025 CA Primary

Addresses

Primary practice location

201 E Main St Unit N
Santa Maria, CA 93454-4476

Mailing address

410 W Fallbrook Ave Ste 105
Fresno, CA 93711-6191
Phone (559) 472-0501

Other practice location 1

410 W Fallbrook Ave Ste 105
Fresno, CA 93711-6191
Phone (559) 472-0501

Other names 1

  • Donna Stephanie Martinez Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
124025CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Family Counseling Inc Marriage & Family Therapist CurrentSince Dec 15, 2024 Accepting new patients

Locations

410 W Fallbrook Ave
Ste 105
Fresno, CA 93711
Phone (559) 472-0501

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1619783149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W FALLBROOK AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116191",
            "telephone_number": "559-472-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST UNIT N",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544476",
            "telephone_number": "805-364-2105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W Fallbrook Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937116191",
            "country_code": "US",
            "telephone_number": "559-472-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DONNA",
        "middle_name": "STEPHANIE",
        "credential": "MS AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "MARTINEZ",
            "middle_name": "STEPHANIE",
            "credential": "BS, MS AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 10, 2024; 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.