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PERSEPHONE B. GONZALEZ
NPI 1285986414
Marriage & Family Therapist in Capitola, CA

Active since October 11, 2012PECOS EnrolledAccepts Medicare Assignment
4169 VIGA CT STE A, CAPITOLA, CA 95010(831) 296-2325 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Persephone B. Gonzalez NPPES

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

PERSEPHONE B. GONZALEZ (NPI 1285986414) is an individual marriage & family therapist in Capitola, California, licensed in California (100405) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285986414
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NamePERSEPHONE B. GONZALEZ
Location Address4169 VIGA CT STE ACapitola, CA 95010-3560
Mailing Address141 Bluff RdMoss Landing, CA 95039-9604 · (831) 296-2325
Phone(831) 296-2325
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 11, 2012
Last NPPES UpdateMarch 22, 2018
✔ NPI 1285986414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 100405✔ Licensed in CA · 71250
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.
4169 VIGA CT STE A, Capitola, CA 95010
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Secondary Practice Location 1

Location 1421 W Avenue 42Los Angeles, CA 90065-3907 · Phone (310) 966-6538

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Persephone B. Gonzalez 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 ID4981057841
PECOS Enrollment IDI20240126001164
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.

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 Persephone Gonzalez's NPI number?

The NPI number for Persephone Gonzalez is 1285986414. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Persephone Gonzalez located?

Persephone Gonzalez practices at 4169 Viga Ct Ste A, Capitola, CA 95010. The listed phone number is (831) 296-2325.

What is Persephone Gonzalez's specialty?

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

Is Persephone Gonzalez enrolled in Medicare?

Yes. Persephone Gonzalez 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.

When was this NPI record last updated?

The NPPES record for Persephone Gonzalez was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.