Active NPI
Zachira Josefina Gonzalez, RCSWI
- Mental Health Counselor
- Fort Myers, FL
National Provider Identifier
1003643313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ISW17535
- Practice address
- 6631 Orion Dr
Fort Myers, FL 33912-4333 - Phone
- (239) 246-0381
- NPI assigned
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ISW17535 | FL | Primary |
Addresses
Primary practice location
6631 Orion Dr
Fort Myers, FL 33912-4333
Mailing address
6631 Orion Dr
Fort Myers, FL 33912-4333
Phone (239) 246-0381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW17535 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1003643313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6631 ORION DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124333",
"telephone_number": "239-246-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6631 ORION DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124333",
"telephone_number": "239-246-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ZACHIRA",
"middle_name": "JOSEFINA",
"credential": "RCSWI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "ISW17535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.