JENNIFER GONZALEZ
NPI 1285983650
Marriage & Family Therapist in San Diego, CA

Q: What is Jennifer Gonzalez's NPI number?

The NPI number for Jennifer Gonzalez is 1285983650. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Q: What is Jennifer Gonzalez's specialty?

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

Q: Is Jennifer Gonzalez enrolled in Medicare?

No. Jennifer Gonzalez has opted out of Medicare through January 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Gonzalez was last updated on August 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 31, 2012Opted out of Medicare · through Jan 25, 2028

2535 KETTNER BLVD, SAN DIEGO, CA 92101(619) 615-0701 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Gonzalez NPPES

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

JENNIFER GONZALEZ (NPI 1285983650) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since August 2012. She has opted out of Medicare through January 25, 2028.

NPPES Registry Identity

NPI1285983650

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER GONZALEZ

Location Address2535 KETTNER BLVDSan Diego, CA 92101

Mailing Address2535 Kettner BlvdSan Diego, CA 92101 · (619) 615-0701

Phone(619) 615-0701

Sole ProprietorNo

Enumeration DateAugust 31, 2012

✔ NPI 1285983650 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.

2535 KETTNER BLVD, San Diego, CA 92101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Gonzalez has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 25, 2024 through January 25, 2028.

Opt-Out Effective DateJanuary 25, 2024

Opt-Out In Effect ThroughJanuary 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

ELLERY BENTLEY

Marriage & Family Therapist

2535 KETTNER BLVD
SAN DIEGO, CA 92101

San Diego County (619) 615-0701

JOHN MORIN

Counselor