Amanda Lauren Gonzalez, ASW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

114539 Issued in CA

Practice address

236 W Mountain St Ste 103
Pasadena, CA 91103-2968

Phone

(323) 924-9084

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1679358089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S OAK KNOLL AVE APT 415",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012169",
            "telephone_number": "909-282-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W MOUNTAIN ST STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032968",
            "telephone_number": "323-924-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMANDA",
        "middle_name": "LAUREN",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "114539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana Marisela Gonzalez Martinez
• Tania Gonzalez Razo
• Carmen Gonzalez-Ball, LCSW
• Caitlin Gonzalez-Ferguson
• Alexandro Gonzalez
• Ana Bertha Gonzalez, ASW
• Angel Gonzalez
• Angela Gonzalez
• Annette Gonzalez
• Antonio Rafael Gonzalez, DDS

• Mental Health Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.