Issac Paul Gonzales

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

39 N Professional Way
Suite 4
Payson, UT 84651-1678

Phone

(801) 980-2566

Fax

(801) 610-2017

NPI assigned

Jul 12, 2023

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Marriage and Family Therapist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1760161343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N BLACKHORSE DR",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605020",
            "telephone_number": "801-200-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N PROFESSIONAL WAY",
            "address_2": "SUITE 4",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511678",
            "telephone_number": "801-980-2566",
            "fax_number": "801-610-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ISSAC",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Fullmer, DO
• Sherri Galbraith
• Alicia Ann Galten
• Angela Marie Gehrke, LCSW
• Hayden Limb Gillies
• Morgan Leslee Gonzales, LCSW
• Jeff Graff, RPH
• Jessica Graff
• Nathan S Gravley, PT
• Carl Christian Gray, PHARMD

• Marriage & Family Therapist in Payson, UT
• Providers in Payson, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.