{
  "npi": "1033662275",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-07-16",
    "credential": "AMFT 143250",
    "enumeration_date": "2016-07-23",
    "first_name": "GONZALO",
    "last_name": "ACOSTA SIERRA",
    "last_updated": "2024-07-16",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2130 NATIONAL AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SAN DIEGO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "619-269-0464",
      "postal_code": "921132209",
      "state": "CA",
      "telephone_number": "619-255-5172"
    },
    {
      "address_1": "823 GATEWAY CENTER WAY",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SAN DIEGO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "921024541",
      "state": "CA",
      "telephone_number": "619-515-2300"
    }
  ],
  "taxonomies": [
    {
      "code": "106H00000X",
      "desc": "Marriage & Family Therapist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "106H00000X",
      "desc": "Marriage & Family Therapist",
      "license": "143250",
      "primary": true,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "101Y00000X",
      "desc": "Counselor",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "E1",
        "medicare_type": "Marriage and Family Therapist"
      }
    ]
  }
}