Individual provider Active NPI

Vickie Gonzalez, MFT

  • Marriage & Family Therapist
  • Carpinteria, CA
National Provider Identifier
1982890661
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 40526 Issued in CA
Practice address
1072 Casitas Pass Rd
# 208
Carpinteria, CA 93013-2109
Phone
(805) 895-5172
NPI assigned
Sep 17, 2007
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 40526 CA Primary

Addresses

Primary practice location

1072 Casitas Pass Rd
# 208
Carpinteria, CA 93013-2109

Mailing address

1072 Casitas Pass Rd # 208
Carpinteria, CA 93013-2109
Phone (805) 895-5172

Other identifiers 1

IdentifierTypeStateIssuer
40526OtherCAMFC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 31, 2026 through May 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 40526CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1982890661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 CASITAS PASS RD # 208",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930132109",
            "telephone_number": "805-895-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 CASITAS PASS RD",
            "address_2": "# 208",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930132109",
            "telephone_number": "805-895-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VICKIE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFC LICENSE",
            "identifier": "40526",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpinteria, CA

Sources for this page

Verify at the official NPI Registry.