Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSIE LILLIANA GAMBOA MS, LMFT
NPI 1740893353
Marriage & Family Therapist in Glendale, CA

Q: What is Susie Gamboa's NPI number?

The NPI number for Susie Gamboa is 1740893353. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Q: What is Susie Gamboa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susie Gamboa was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.

Active since August 25, 2020PECOS Enrolled

300 N BRAND BLVD STE 170, GLENDALE, CA 91203(909) 453-2984 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Aug 14, 2026, Nov 13, 2025 and 4 more (7 updates tracked since 2020).

On this page

About Susie Lilliana Gamboa Ms, Lmft NPPES

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

SUSIE LILLIANA GAMBOA MS, LMFT (NPI 1740893353) is an individual marriage & family therapist in Glendale, California, licensed in California (158502) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1740893353

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSUSIE LILLIANA GAMBOACredential: MS, LMFT

Location Address300 N BRAND BLVD STE 170Glendale, CA 91203-2304

Mailing Address1835 E Edgewood Dr Ste 105Appleton, WI 54913-9325 · (909) 453-2984

Phone(909) 453-2984

Sole ProprietorYes

Enumeration DateAugust 25, 2020

Last NPPES UpdateOctober 14, 20267 updates tracked since enumeration

NPPES CertifiedOctober 14, 2026

✔ NPI 1740893353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 158502

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 158502 (CA)

300 N BRAND BLVD STE 170, Glendale, CA 91203

Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 E Woodcrest DrAppleton, WI 54915-7034 · Phone (909) 453-2984

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susie Lilliana Gamboa Ms, Lmft 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.

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 Susie Gamboa's NPI number?

The NPI number for Susie Gamboa is 1740893353. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Susie Gamboa located?

Susie Gamboa practices at 300 N Brand Blvd Ste 170, Glendale, CA 91203. The listed phone number is (909) 453-2984.

What is Susie Gamboa's specialty?

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

Is Susie Gamboa enrolled in Medicare?

Yes. Susie Gamboa is registered in the Medicare PECOS enrollment system.

What insurance does Susie Gamboa accept?

Health plans from Anthem Blue Cross and Blue Shield list Susie Gamboa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susie Gamboa was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.