Gina Nicole Clemente, MASTERS OF SCIENCE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113691 Issued in CA

Practice address

550 N Golden Circle Dr
Santa Ana, CA 92705-3959

Phone

(800) 778-1772

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1831739929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 N WOODS ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651230",
            "telephone_number": "714-876-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N GOLDEN CIRCLE DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053959",
            "telephone_number": "800-778-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "GINA",
        "middle_name": "NICOLE",
        "credential": "MASTERS OF SCIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C. Claxton
• Rochelle A Clayton
• Clean Path Recovery, LLC
• Clean Path Recovery, LLC
• Ashleigh Cleary
• Brianna Michael Clements
• Kaley Ann Clenney
• Kristen Eileen Clevenger, N.P.
• Kandra Diane Clifton, MA
• Clinica Buena Salud Inc

• Marriage & Family Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.