Individual provider Active NPI

Joaquin Edward Gonzales, LMFT 141138

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1669845905
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT141138 Issued in CA
Practice address
1617 E Saginaw Way Ste 101
Fresno, CA 93704-4458
Phone
(559) 341-6110
NPI assigned
Nov 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 112432IV CA
Marriage & Family Therapist 106H00000X LMFT141138 CA Primary

Addresses

Primary practice location

1617 E Saginaw Way Ste 101
Fresno, CA 93704-4458

Mailing address

3422 N Lorna Ave
Fresno, CA 93705-3126
Phone (559) 341-6110

Other practice location 1

4910 E Ashlan Ave Ste 118
Fresno, CA 93726-3021
Phone (559) 639-2006

Other practice location 2

1925 E Dakota Ave Ste Q
Fresno, CA 93726-4821
Phone (559) 353-0409

Other practice location 3

1396 W Herndon Ave
Fresno, CA 93711-7126
Phone (559) 256-0100

Other practice location 4

3333 E American Ave
Fresno, CA 93725-9247
Phone (559) 600-4700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
112432IVCAMDAddiction (Substance Use Disorder) Counselor
LMFT141138CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Christian Counseling Center Addiction (Substance Use Disorder) Current Accepting new patients

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1669845905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 N LORNA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937053126",
            "telephone_number": "559-341-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E SAGINAW WAY STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937044458",
            "telephone_number": "559-341-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 E Ashlan Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937263021",
            "country_code": "US",
            "telephone_number": "559-639-2006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 E Dakota Ave Ste Q",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264821",
            "country_code": "US",
            "telephone_number": "559-353-0409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1396 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937117126",
            "country_code": "US",
            "telephone_number": "559-256-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 E American Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937259247",
            "country_code": "US",
            "telephone_number": "559-600-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JOAQUIN",
        "middle_name": "EDWARD",
        "credential": "LMFT 141138",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "112432IV",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT141138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.