Sergio Ariel Gonzalez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH24812 Issued in FL

Practice address

17780 NW 67TH Ave Apt 1023
Hialeah, FL 33015-5881

Phone

(786) 704-3145

NPI assigned

Jun 9, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1003483801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17780 NW 67TH AVE APT 1023",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155881",
            "telephone_number": "786-704-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17780 NW 67TH AVE APT 1023",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155881",
            "telephone_number": "786-704-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SERGIO",
        "middle_name": "ARIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MENTAL HEALTH COUNSELOR",
            "identifier": "MH24812",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103K00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Gonzalez
• Rosa Gonzalez, LMHC
• Sandy Gonzalez
• Sarahi Gonzalez
• Sergio Alex Gonzalez, MD
• Sheila De la Caridad Gonzalez
• Sheyla Gonzalez
• Silvia Gonzalez
• Stephanie Gonzalez, OTR
• Sutnamis Gonzalez

• Mental Health Counselor in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.