NICOLE GONZALEZ LMFT 112940
NPI 1558720763
Counselor - Mental Health in Visalia, CA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Nicole Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gonzalez reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Nicole 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 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.
# Nicole Gonzalez, LMFT 112940 · NPI 1558720763
Mental Health provider in Visalia, California. Individual provider, active in the CMS NPPES registry since February 16, 2016.
## Identity
- **NPI:** 1558720763 (Entity type: Individual)
- **Enumerated:** February 16, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LMFT112940 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 E TULARE AVE, Visalia, CA 93292-3629
- **Phone:** (559) 623-0900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** December 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1558720763) · Data from the CMS NPPES public registry.