1. Home
  2. Directory
  3. California
  4. Pomona
  5. Counselor
  6. NPI Profile

LISA-MARIE GONZALEZ
NPI 1710286034
Counselor in Pomona, CA

Active since March 25, 2011PECOS Enrolled
160 E HOLT AVE STE B, POMONA, CA 91767(909) 620-2521 Get Directions Write a Review

NPPES record last updated: October 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa-marie Gonzalez NPPES

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

LISA-MARIE GONZALEZ (NPI 1710286034) is an individual counselor in Pomona, California and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710286034
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA-MARIE GONZALEZ
Location Address160 E HOLT AVE STE BPomona, CA 91767-5407
Mailing Address160 E Holt Ave Ste BPomona, CA 91767-5407 · (909) 620-2521
Phone(909) 620-2521
Sole ProprietorNo
Enumeration DateMarch 25, 2011
Last NPPES UpdateOctober 19, 2024
NPPES CertifiedOctober 19, 2024
✔ NPI 1710286034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 111466 (CA)
160 E HOLT AVE STE B, Pomona, CA 91767
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa-marie Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lisa-marie Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.0 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

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.

MAYDY BRAN-ORONA
Counselor (Mental Health)
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MARGARET PENNINGTON
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
ROCIO HERNANDEZ
Student in an Organized Health Care Education/Training Program
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MR. MARCUS KNIGHT
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
JOHN JOSEPH BENEDICT SEVILLA
Marriage & Family Therapist
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
IVETTE GONZALEZ
Counselor (Mental Health)
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
VICTOR MORA
Counselor
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MR. FRANK YBARRA JR.
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521

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 Lisa-marie Gonzalez's NPI number?

The NPI number for Lisa-marie Gonzalez is 1710286034. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Where is Lisa-marie Gonzalez located?

Lisa-marie Gonzalez practices at 160 E Holt Ave Ste B, Pomona, CA 91767. The listed phone number is (909) 620-2521.

What is Lisa-marie Gonzalez's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lisa-marie Gonzalez enrolled in Medicare?

Yes. Lisa-marie Gonzalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa-marie Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa-marie Gonzalez reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). 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 Lisa-marie 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 Lisa-marie Gonzalez was last updated on October 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.