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MARISSA GRACE GONZALES
NPI 1104561976
Marriage & Family Therapist in Camarillo, CA

Active since May 04, 2022PECOS EnrolledAccepts Medicare Assignment
4001 MISSION OAKS BLVD STE I, CAMARILLO, CA 93012(805) 485-6114 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marissa Grace Gonzales NPPES

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

MARISSA GRACE GONZALES (NPI 1104561976) is an individual marriage & family therapist in Camarillo, California and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104561976
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARISSA GRACE GONZALES
Location Address4001 MISSION OAKS BLVD STE ICamarillo, CA 93012-5121
Mailing Address130 S Olive StSanta Paula, CA 93060-2612 · (805) 607-4635
Phone(805) 485-6114
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1104561976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
4001 MISSION OAKS BLVD STE I, Camarillo, CA 93012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa Grace Gonzales is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527542687
PECOS Enrollment IDI20260317004784
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 Marissa Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monica Perlman MD Inc.
138 mi
Primary Care
9850 GENESEE AVE STE 320
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 341 clinicians in this Medicare group
NPI 1134309305 (858) 864-9800

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 16

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

ALEJANDRINA CARRASCO MA
Marriage & Family Therapist
4001 MISSION OAKS BLVD STE I
CAMARILLO, CA 93012
Ventura County (805) 485-6114
MORGAN COOK
Case Manager/Care Coordinator
4001 MISSION OAKS BLVD STE I
CAMARILLO, CA 93012
Ventura County (805) 485-6114
VERONICA RODRIGUEZ B.A
Counselor
4001 MISSION OAKS BLVD STE I
CAMARILLO, CA 93012
Ventura County (805) 485-6114
SELENE CERVANTES
Marriage & Family Therapist
4001 MISSION OAKS BLVD STE I
CAMARILLO, CA 93012
Ventura County (805) 485-6114
LORENA MANZO
Counselor (Mental Health)
4001 MISSION OAKS BLVD STE I
CAMARILLO, CA 93012
Ventura County (805) 485-6114
STEPHANIE SULLIVAN
Case Manager/Care Coordinator
4001 MISSION OAKS BLVD STE I
CAMARILLO, CA 93012
Ventura County (805) 850-4570
MICHAEL E COUCHMAN
Community Health Worker
4001 MISSION OAKS BLVD STE I
CAMARILLO, CA 93012
Ventura County (805) 485-6114
MS. JOELLE RENE VESSELS MFT
Marriage & Family Therapist
4001 MISSION OAKS BLVD STE I
CAMARILLO, CA 93012
Ventura County (805) 485-6114

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 Marissa Gonzales's NPI number?

The NPI number for Marissa Gonzales is 1104561976. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Marissa Gonzales located?

Marissa Gonzales practices at 4001 Mission Oaks Blvd Ste I, Camarillo, CA 93012. The listed phone number is (805) 485-6114.

What is Marissa Gonzales's specialty?

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

Is Marissa Gonzales enrolled in Medicare?

Yes. Marissa Gonzales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marissa Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Gonzales reassigns Medicare benefits to Monica Perlman MD Inc. (La Jolla, 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 Marissa Gonzales'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 Marissa Gonzales was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.