MRS. DEBORAH GONZALEZ-POOLE MA, LMFT
NPI 1700344736
Marriage & Family Therapist in San Pedro, CA

Q: What is Deborah Gonzalez-poole's NPI number?

The NPI number for Deborah Gonzalez-poole is 1700344736. It was assigned to this individual provider in the NPPES registry on March 8, 2019.

Q: What is Deborah Gonzalez-poole's specialty?

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

Q: Is Deborah Gonzalez-poole enrolled in Medicare?

No. Deborah Gonzalez-poole has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since March 08, 2019Opted out of Medicare · through Jan 23, 2028

3618 S CAROLINA ST, SAN PEDRO, CA 90731(562) 261-6143 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2025, Nov 16, 2021, Oct 18, 2021 and 2 more (5 updates tracked since 2019).

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About Mrs. Deborah Gonzalez-poole Ma, Lmft NPPES

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

MRS. DEBORAH GONZALEZ-POOLE MA, LMFT (NPI 1700344736) is an individual marriage & family therapist in San Pedro, California, licensed in California (128541) and active in the NPI registry since March 2019. She has opted out of Medicare through January 23, 2028.

NPPES Registry Identity

NPI1700344736

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. DEBORAH GONZALEZ-POOLECredential: MA, LMFT

Location Address3618 S CAROLINA STSan Pedro, CA 90731-6927

Mailing Address3618 S Carolina StSan Pedro, CA 90731-6927 · (562) 261-6143

Phone(562) 261-6143

Sole ProprietorYes

Enumeration DateMarch 8, 2019

Last NPPES UpdateAugust 29, 20255 updates tracked since enumeration

NPPES CertifiedAugust 29, 2025

✔ NPI 1700344736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 128541

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.

3618 S CAROLINA ST, San Pedro, CA 90731

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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

Mrs. Deborah Gonzalez-poole Ma, Lmft 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 January 23, 2024 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2024

Opt-Out In Effect ThroughJanuary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Deborah Gonzalez-poole's NPI number?

The NPI number for Deborah Gonzalez-poole is 1700344736. It was assigned to this individual provider in the NPPES registry on March 8, 2019.

Where is Deborah Gonzalez-poole located?

Deborah Gonzalez-poole practices at 3618 S Carolina St, San Pedro, CA 90731. The listed phone number is (562) 261-6143.

What is Deborah Gonzalez-poole's specialty?

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

Is Deborah Gonzalez-poole enrolled in Medicare?

No. Deborah Gonzalez-poole has opted out of Medicare through January 23, 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 Deborah Gonzalez-poole was last updated on August 29, 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.