MS. TINA MATILDE GONZALEZ
NPI 1396124020
Marriage & Family Therapist in Upland, CA

Q: What is Tina Gonzalez's NPI number?

The NPI number for Tina Gonzalez is 1396124020. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Tina Gonzalez's specialty?

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

Q: Is Tina Gonzalez enrolled in Medicare?

No. Tina Gonzalez has opted out of Medicare through February 20, 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 Tina Gonzalez was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since May 27, 2015Opted out of Medicare · through Feb 20, 2028

876 N MOUNTAIN AVE STE 200E, UPLAND, CA 91786(909) 766-0096 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2023, Jan 17, 2023, Apr 8, 2022 and 5 more (8 updates tracked since 2016).

On this page

About Ms. Tina Matilde Gonzalez NPPES

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

MS. TINA MATILDE GONZALEZ (NPI 1396124020) is an individual marriage & family therapist in Upland, California, licensed in California (110005) and active in the NPI registry since May 2015. She has opted out of Medicare through February 20, 2028.

NPPES Registry Identity

NPI1396124020

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. TINA MATILDE GONZALEZ

Location Address876 N MOUNTAIN AVE STE 200EUpland, CA 91786-4166

Mailing AddressPo Box 1815Claremont, CA 91711-8815 · (909) 766-0096

Phone(909) 766-0096

Sole ProprietorNo

Enumeration DateMay 27, 2015

Last NPPES UpdateAugust 26, 20258 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1396124020 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

Licenses✔ Licensed in CA · 110005✔ Licensed in CA · IMF 95694

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

876 N MOUNTAIN AVE STE 200E, Upland, CA 91786

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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

Ms. Tina Matilde 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 February 20, 2024 through February 20, 2028.

Opt-Out Effective DateFebruary 20, 2024

Opt-Out In Effect ThroughFebruary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

FLOR Y SIENDO INDIVIDUAL AND FAMILY THERAPY, PROFESSIONAL CORPORATION

Marriage & Family Therapist

876 N MOUNTAIN AVE STE 200E
UPLAND, CA 91786

San Bernardino County (909) 766-0096

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 Tina Gonzalez's NPI number?

The NPI number for Tina Gonzalez is 1396124020. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Tina Gonzalez located?

Tina Gonzalez practices at 876 N Mountain Ave Ste 200E, Upland, CA 91786. The listed phone number is (909) 766-0096.

What is Tina Gonzalez's specialty?

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

Is Tina Gonzalez enrolled in Medicare?

No. Tina Gonzalez has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tina Gonzalez was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.