NICOLE GONZALEZ LMFT 112940
NPI 1558720763
Counselor - Mental Health in Visalia, CA

Active since February 16, 2016PECOS EnrolledAccepts Medicare Assignment
520 E TULARE AVE, VISALIA, CA 93292(559) 623-0900 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2019, Feb 16, 2016 (2 updates tracked since 2016).

About Nicole Gonzalez Lmft 112940 NPPES

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

NICOLE GONZALEZ LMFT 112940 (NPI 1558720763) is an individual mental health provider in Visalia, California, licensed in California (LMFT112940) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Visalia, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1558720763
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE GONZALEZCredential: LMFT 112940
Location Address520 E TULARE AVEVisalia, CA 93292-3629
Mailing Address520 E Tulare AveVisalia, CA 93292-3629 · (559) 623-0900
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 16, 2016
Last NPPES UpdateDecember 13, 20192 updates tracked since enumeration
NPI 1558720763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in CA · LMFT112940 Licensed in CA · IMF90031
520 E TULARE AVE, Visalia, CA 93292

Secondary Practice Location 1

Location 1711 N Court StVisalia, CA 93291-3638 · Phone (559) 627-1490

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

Nicole Gonzalez Lmft 112940 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 ID1254874274
PECOS Enrollment IDI20240619000700
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.

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.

Licensed Psychiatric Technician
520 E TULARE AVE
VISALIA, CA 93292
Psychiatry & Neurology (Psychiatry)
520 E TULARE AVE
VISALIA, CA 93292
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Peer Specialist
520 E TULARE AVE
VISALIA, CA 93292
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Social Worker
520 E TULARE AVE
VISALIA, CA 93292
Marriage & Family Therapist
520 E TULARE AVE
VISALIA, CA 93292

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 Nicole Gonzalez's NPI number?

The NPI number for Nicole Gonzalez is 1558720763. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Nicole Gonzalez located?

Nicole Gonzalez practices at 520 E Tulare Ave, Visalia, CA 93292. The listed phone number is (559) 623-0900.

What is Nicole Gonzalez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Gonzalez enrolled in Medicare?

Yes. Nicole 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 Nicole Gonzalez was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.