Individual provider Active NPI

Marieva Gonzalez Lopez

  • Marriage & Family Therapist
  • Santa Clara, CA
National Provider Identifier
1679940225
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116176 Issued in CA
Practice address
5201 Great America Pkwy
Santa Clara, CA 95054-1122
Phone
(323) 205-7088
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 116176 CA Primary
Marriage & Family Therapist 106H00000X T3056 OR

Addresses

Primary practice location

5201 Great America Pkwy
Santa Clara, CA 95054-1122

Mailing address

2001 E 4TH St Ste 116
Santa Ana, CA 92705-3916
Phone (714) 824-8150

Other practice location 1

11 NW 5th Ave Ste 3150
Portland, OR 97209-3809
Phone (323) 205-7088

Other names 1

  • Marieva Gonzalez Jacobo Former name

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
116176CAMDMarriage & Family Therapist
T3056ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
College Community Services PastSince Aug 2, 2020 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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1679940225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E 4TH ST STE 116",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053916",
            "telephone_number": "714-824-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541122",
            "telephone_number": "323-205-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 NW 5th Ave Ste 3150",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972093809",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARIEVA",
        "middle_name": "GONZALEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116176",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T3056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIEVA",
            "last_name": "JACOBO",
            "middle_name": "GONZALEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.