Individual provider Active NPI

Joe Gonzalez, MFTI

  • Specialist
  • Santa Barbara, CA
National Provider Identifier
1831216712
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MFTI 76474 Issued in CA
Practice address
429 N San Antonio Rd
Children'S Clinic
Santa Barbara, CA 93110-1399
Phone
(805) 884-1662
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MFTI 76474 CA Primary

Addresses

Primary practice location

429 N San Antonio Rd
Children'S Clinic
Santa Barbara, CA 93110-1399

Mailing address

429 N San Antonio Rd
Santa Barbara, CA 93110-1399
Phone (805) 884-1662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813000192 CA Practitioner - Marriage and Family Therapist 7517405384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

735 State St
Suite 527
Santa Barbara, CA 93101-5554
Phone (805) 455-2804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFTI 76474CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
SB Family Counseling & Wellness, a Professional Corporation CurrentSince Jul 12, 2024 Accepting new patients

Locations

735 State St
Ste 527
Santa Barbara, CA 93101
Phone (805) 403-3229

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1831216712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101399",
            "telephone_number": "805-884-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N SAN ANTONIO RD",
            "address_2": "CHILDREN'S CLINIC",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101399",
            "telephone_number": "805-884-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "MFTI 76474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.