JACQUELYN GONZALEZ
NPI 1073189361
Counselor - Mental Health in San Carlos, CA

Active since May 27, 2021
1303 SAN CARLOS AVE, SAN CARLOS, CA 94070(650) 394-5155 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Gonzalez NPPES

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

JACQUELYN GONZALEZ (NPI 1073189361) is an individual mental health provider in San Carlos, California, licensed in California (122037) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1073189361
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELYN GONZALEZ
Location Address1303 SAN CARLOS AVESan Carlos, CA 94070-2317
Mailing AddressPo Box 5618Redwood City, CA 94063-0618 · (650) 716-7671
Sole ProprietorNo
Enumeration DateMay 27, 2021
NPPES CertifiedMay 27, 2021
NPI 1073189361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 122037
1303 SAN CARLOS AVE, San Carlos, CA 94070

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070
Marriage & Family Therapist
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070
Student in an Organized Health Care Education/Training Program
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070
Marriage & Family Therapist
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070
Marriage & Family Therapist
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070
Surgery (Vascular Surgery)
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070
Social Worker (Clinical)
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070
Marriage & Family Therapist
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070

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 Jacquelyn Gonzalez's NPI number?

The NPI number for Jacquelyn Gonzalez is 1073189361. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Jacquelyn Gonzalez located?

Jacquelyn Gonzalez practices at 1303 San Carlos Ave, San Carlos, CA 94070. The listed phone number is (650) 394-5155.

What is Jacquelyn Gonzalez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Gonzalez was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.