Active NPI
Maria Esther Gonzalez
- Mental Health Counselor
- Pasadena, CA
National Provider Identifier
1790399871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 102788
- Practice address
- 1520 N Raymond Ave BLDG 2-7
Pasadena, CA 91103-1819 - Phone
- (626) 396-5920
- NPI assigned
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 102788 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1520 N Raymond Ave BLDG 2-7
Pasadena, CA 91103-1819
Mailing address
515 Columbia Ave Ste 300
Los Angeles, CA 90017-1209
Phone (213) 553-9121
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102788 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Unified School District | Current | Accepting new patients |
Locations
1520 N Raymond Ave
Bldg 27
Pasadena, CA 91103
Phone (626) 396-5920
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.
-
- Local Education Agency (LEA)
- Pasadena, CA
- NPI 1093839607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1790399871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 COLUMBIA AVE STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171209",
"telephone_number": "213-553-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 N RAYMOND AVE BLDG 2-7",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031819",
"telephone_number": "626-396-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARIA",
"middle_name": "ESTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "102788",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.