Individual provider Active NPI

Liz Beth Gutierrez

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1679054688
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120959 Issued in CA
Practice address
600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552
Phone
(714) 871-9264
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 120959 CA Primary

Addresses

Primary practice location

600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552

Mailing address

600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552

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

State licenses

LicenseStateTypeSpecialty
120959CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance Center, Inc. CurrentSince Aug 25, 2024 Accepting new patients
Child Guidance Center, Inc. Past Accepting new patients

Locations

600 W Santa Ana Blvd
Ste 600
Santa Ana, CA 92701
Phone (714) 871-9264

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1679054688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 600",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 600",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014552",
            "telephone_number": "714-871-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LIZ",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.