1. Home
  2. Directory
  3. California
  4. La Verne
  5. Marriage Family Therapist
  6. NPI Profile

MARIELLA GONZALEZ
NPI 1063910560
Marriage & Family Therapist in La Verne, CA

Active since January 30, 2018PECOS Enrolled
1025 SENTINEL DR, LA VERNE, CA 91750(098) 332-9869 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2024, Jan 12, 2021, Sep 26, 2019 (3 updates tracked since 2019).

About Mariella Gonzalez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIELLA GONZALEZ (NPI 1063910560) is an individual marriage & family therapist in La Verne, California, licensed in California (147168) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in La Verne.

NPPES Registry Identity

NPI1063910560
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARIELLA GONZALEZ
Location Address1025 SENTINEL DRLa Verne, CA 91750-3280
Mailing Address1025 Sentinel DrLa Verne, CA 91750-3280 · (909) 593-2581
Phone(098) 332-9869
Sole ProprietorNo
Enumeration DateJanuary 30, 2018
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1063910560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 147168
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1025 SENTINEL DR, La Verne, CA 91750
Open in Google Maps ↗

Secondary Practice Location 1

Location 11025 Sentinel DrLA Verne, CA 91750-3280 · Phone (909) 593-2581

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariella Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mariella Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
320 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DOUGLAS ULYSSES GEORGE ASW
Social Worker (Clinical)
1025 SENTINEL DR, SUITE 200
LA VERNE, CA 91750
Los Angeles County (909) 833-2986
MARIBEL DURAN
Counselor
1025 SENTINEL DR
LA VERNE, CA 91750
Los Angeles County (909) 833-2986
HAYNES FAMILY OF PROGRAMS
Community Based Residential Treatment Facility, Mental Illness
1025 SENTINEL DR, SUITES 200 & 206
LA VERNE, CA 91750
Los Angeles County (909) 833-2986
MRS. DENISE STYLIANIDES M.A.
Marriage & Family Therapist
1025 SENTINEL DR, SUITE 200
LA VERNE, CA 91750
Los Angeles County (909) 593-2581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariella Gonzalez's NPI number?

The NPI number for Mariella Gonzalez is 1063910560. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Mariella Gonzalez located?

Mariella Gonzalez practices at 1025 Sentinel Dr, La Verne, CA 91750. The listed phone number is (098) 332-9869.

What is Mariella Gonzalez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mariella Gonzalez enrolled in Medicare?

Yes. Mariella Gonzalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariella Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariella Gonzalez reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariella Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariella Gonzalez was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.