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MRS. JESSICA NICHOLE GONZALEZ LCSW
NPI 1467290650
Social Worker - Clinical in Fullerton, CA

Active since July 19, 2024PECOS Enrolled
140 E COMMONWEALTH AVE STE 208, FULLERTON, CA 92832(949) 610-8966(530) 767-4355 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Jul 24, 2026, Jul 19, 2024 (3 updates tracked since 2024).

About Mrs. Jessica Nichole Gonzalez Lcsw NPPES

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

MRS. JESSICA NICHOLE GONZALEZ LCSW (NPI 1467290650) is an individual clinical provider in Fullerton, California, licensed in California (90452) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467290650
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JESSICA NICHOLE GONZALEZCredential: LCSW
Location Address140 E COMMONWEALTH AVE STE 208Fullerton, CA 92832-1905
Mailing Address725 S Grand AveGlendora, CA 91740-4141 · (626) 691-1700
Phone(949) 610-8966
Fax(530) 767-4355
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 19, 2024
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1467290650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 90452
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
140 E COMMONWEALTH AVE STE 208, Fullerton, CA 92832
Open in Google Maps ↗

Secondary Practice Location 1

Location 14160 Temescal Canyon Rd Ste 205Corona, CA 92883-4624 · Phone (858) 279-1223

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Nichole Gonzalez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810455672
PECOS Enrollment IDI20260821001915
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 Jessica Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
346 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

ZEBA DAMANI
Counselor (Professional)
140 E COMMONWEALTH AVE STE 208
FULLERTON, CA 92832
Orange County (949) 610-8966
JOYCE HAN AMFT
Marriage & Family Therapist
140 E COMMONWEALTH AVE STE 208
FULLERTON, CA 92832
Orange County (949) 610-8966
ALICE PARK
Counselor (Professional)
140 E COMMONWEALTH AVE STE 208
FULLERTON, CA 92832
Orange County (562) 217-2124
TARA ALIZADEH
Marriage & Family Therapist
140 E COMMONWEALTH AVE STE 208
FULLERTON, CA 92832
Orange County (949) 610-8966
FREE AT HEART ONLINE THERAPY LICENSED CLINICAL SOCIAL WORKER PC
Social Worker (Clinical)
140 E COMMONWEALTH AVE STE 208
FULLERTON, CA 92832
Orange County (530) 591-5915
RAMONA PRITCHETT
Social Worker (Clinical)
140 E COMMONWEALTH AVE STE 208
FULLERTON, CA 92832
Orange County (562) 257-6944

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 Jessica Gonzalez's NPI number?

The NPI number for Jessica Gonzalez is 1467290650. It was assigned to this individual provider in the NPPES registry on July 19, 2024.

Where is Jessica Gonzalez located?

Jessica Gonzalez practices at 140 E Commonwealth Ave Ste 208, Fullerton, CA 92832. The listed phone number is (949) 610-8966.

What is Jessica Gonzalez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Gonzalez enrolled in Medicare?

Yes. Jessica Gonzalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gonzalez reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Jessica Gonzalez'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 Jessica Gonzalez was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.