Individual provider Active NPI

Christine A. Gonzalez, B.A.

  • Mental Health Counselor
  • Garden Grove, CA
National Provider Identifier
1679770689
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12755 Brookhurst St
#116
Garden Grove, CA 92840-4857
Phone
(714) 638-8277
Fax
(714) 638-8343
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12755 Brookhurst St
#116
Garden Grove, CA 92840-4857

Mailing address

1011 N Begonia Ave
Ste 1009
Ontario, CA 91762-2104
Phone (800) 683-2945

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
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Psychhealing Counseling Center Inc CurrentSince Apr 6, 2023 Accepting new patients
Psychhealing Counseling Center, Inc Mental Health CurrentSince Jul 20, 2021 Accepting new patients

Locations

8932 Katella Ave
Ste 103
Anaheim, CA 92804
Phone (800) 683-2945

1011 N Begonia Ave
Ste 1009
Ontario, CA 91762
Phone (323) 786-2425

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1679770689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N BEGONIA AVE",
            "address_2": "STE 1009",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917622104",
            "telephone_number": "800-683-2945",
            "fax_number": "909-906-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 BROOKHURST ST",
            "address_2": "#116",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404857",
            "telephone_number": "714-638-8277",
            "fax_number": "714-638-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHRISTINE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.