MIRNA GONZALES – Marriage & Family Therapist, NPI 1053741124

MIRNA GONZALES is a healthcare provider. based in Lamont, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. IMF 82350 (CA). The NPI Number for MIRNA GONZALES is 1053741124

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MIRNA GONZALES
NPI
1053741124
Phone
(661) 845-5100
Address
7839 BURGUNDY AVE
Enumeration Date
26 November 2013
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6613967100
Graduation Year
2014 (12 years ago)
PAC ID
1951752591
Group Practice PAC ID
5890934426
Professional Enrollment ID
I20240109001074
Address ID
CA933096279BA5401XLNXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for MIRNA GONZALES

  • 7839 BURGUNDY AVE

    LAMONT, CA 932411338

    Phone: (661) 845-5100

    Fax: (661) 845-5106

    Type: Mailing

  • 1305 BEAR MOUNTAIN BLVD

    ARVIN, CA 932031231

    Phone: (661) 396-7100

    Fax: (661) 854-2689

    Type: Mailing

  • 2001 28TH ST

    BAKERSFIELD, CA 933011924

    Phone: (661) 699-0940

    Type: Mailing

  • 17695 INDUSTRIAL FARM RD

    BAKERSFIELD, CA 933089520

    Phone: (661) 391-3190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240109001074IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93241)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890934426View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerCA
Physician AssistantCA
Internal Medicine, Family PracticeCA
Internal MedicineCA
P S Y C H I A T R YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does MIRNA GONZALES have a public NPI I can cite?
Public records show MIRNA GONZALES under NPI 1053741124.
Is MIRNA GONZALES currently accepting referrals based on NPI status?
Registry metadata lists MIRNA GONZALES as active.
What does the directory say MIRNA GONZALES does?
Insurance directories may phrase it differently, but here MIRNA GONZALES maps to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MIRNA GONZALES?
MIRNA GONZALES is associated with Lamont, California in the same public data insurers reference.
Why is information missing for MIRNA GONZALES?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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