NICOLE GONZALEZ (LCMFT) – Marriage & Family Therapist, NPI 1275037830

NICOLE GONZALEZ (LCMFT) is a healthcare provider. based in Salina, Kansas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LCMFT. They hold a License No. 2950 (KS). The NPI Number for NICOLE GONZALEZ (LCMFT) is 1275037830

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE GONZALEZ (LCMFT)
NPI
1275037830
Phone
(857) 825-0563
Address
5097 W CLOUD ST
Enumeration Date
20 March 2018
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7852384711
Graduation Year
2017 (9 years ago)
PAC ID
5496108516
Group Practice PAC ID
3779483466
Professional Enrollment ID
I20240125000749
Address ID
KS664414201JU361XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:8State licenses:2Digital endpointsOther names

163 MARRIAGE AND FAMILY THERAPIST in KS

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Provider Addresses for NICOLE GONZALEZ (LCMFT)

  • West Cloud Street, Salina, Saline County, Kansas, 67401, United States

    SALINA, KS 674019743

    Phone: (857) 825-0563

    Type: Mailing

  • 2001, Claflin Road, Manhattan, Riley County, Kansas, 66502, United States

    MANHATTAN, KS 665023415

    Phone: (785) 587-4300

    Type: Location

  • 361 GRANT AVE

    JUNCTION CITY, KS 664414201

    Phone: (785) 238-4711

    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: 2024-01-25

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
I20240125000749IMarriage And Family TherapistKSTBD

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 67401)

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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: 3779483466View full group profile
NameSpecialtyState
Clinical Psychologist, Mental Health CounselorKS
-KS
Nurse PractitionerKS
Family PracticeKS
Physician AssistantTN
-KS
-KS
Clinical Social WorkerKY
Nurse PractitionerKS
Family PracticeMN

Reviews

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Frequently asked questions

What is the registry number for NICOLE GONZALEZ (LCMFT)?
The registry entry for NICOLE GONZALEZ (LCMFT) shows NPI 1275037830.
Does the public listing show NICOLE GONZALEZ (LCMFT) as active?
NICOLE GONZALEZ (LCMFT)'s NPI record reflects an active status in NPPES.
What services align with NICOLE GONZALEZ (LCMFT)'s listing?
NICOLE GONZALEZ (LCMFT)'s public classification highlights Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE GONZALEZ (LCMFT)?
The directory associates NICOLE GONZALEZ (LCMFT) with Salina, Kansas. Check all listed addresses for suites or satellite offices.
Can I export NICOLE GONZALEZ (LCMFT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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