Active NPI
Kelli Gonzales
- Counselor
- Banning, CA
National Provider Identifier
1003422361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 755 W Hoffer St
Banning, CA 92220-2348 - Phone
- (951) 922-0356
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
755 W Hoffer St
Banning, CA 92220-2348
Mailing address
6235 River Crest Dr Ste O
Riverside, CA 92507-0758
Phone (951) 653-7561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plan-It Life, Inc. | Current | Accepting new patients | |
| Plan-It Life, Inc. | Current | Accepting new patients | |
| Plan-It Life, Inc. | Past | Accepting new patients |
Locations
6235 River Crest Dr
Ste O
Riverside, CA 92507
Phone (951) 333-6256
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Temecula, CA
- NPI 1083231088
-
- Mental Illness Community Based Residential Treatment Facility
- Murrieta, CA
- NPI 1972022937
-
- Mental Illness Community Based Residential Treatment Facility
- Banning, CA
- NPI 1780103747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1003422361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 RIVER CREST DR STE O",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070758",
"telephone_number": "951-653-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 W HOFFER ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922202348",
"telephone_number": "951-922-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.