Active NPI
Lisa Zelene Gonzalez, PSYD.
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1659825099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1721 Griffin Ave
Los Angeles, CA 90031-3312 - Phone
- (323) 221-4134
- NPI assigned
- Aug 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1721 Griffin Ave
Los Angeles, CA 90031-3312
Mailing address
1721 Griffin Ave
Los Angeles, CA 90031-3312
Phone (323) 221-4134
Other practice location 1
679 S New Hampshire Ave
Los Angeles, CA 90005-1355
Phone (213) 385-5100 ext. 2059
Other practice location 2
3208 Rosemead Blvd Ste 100
El Monte, CA 91731
Phone (626) 227-7001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1659825099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 GRIFFIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313312",
"telephone_number": "323-221-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 GRIFFIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313312",
"telephone_number": "323-221-4134"
}
],
"practiceLocations": [
{
"address_1": "679 S New Hampshire Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900051355",
"country_code": "US",
"telephone_number": "213-385-5100 x2059",
"fax_number": "213-807-1995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3208 Rosemead Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "91731",
"country_code": "US",
"telephone_number": "626-227-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LISA",
"middle_name": "ZELENE",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-13",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.