Vanessa Lia Giuffra Gonzalez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

13023194-3902 Issued in UT

Practice address

1675 N Freedom Blvd Ste 10B
Provo, UT 84604-6906

Phone

(801) 900-6056

NPI assigned

Dec 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serena Growth Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sultan, WA
  • NPI 1376491522
  NPD Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1639986631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD STE 10B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD STE 10B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046906",
            "telephone_number": "801-900-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUFFRA GONZALEZ",
        "first_name": "VANESSA",
        "middle_name": "LIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "13023194-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Gilliland, PH.D.
• Myrna Suzanne Gillis, LAMFT
• Isaac Swift Gilmer
• Laurine Giraud-Carrier
• Azucena Giron
• Anneli Givens
• Heather Meridian Gladden
• Daniel Glade, MD
• Glasgow Chiropractic and Rehabilitation P.L.L.C
• Stacie Glass, PA

• Marriage & Family Therapist in Provo, UT
• Providers in Provo, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.