Mario Julian Gonzalez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

71220 Issued in TX

Practice address

2201 Double Creek Dr
Unit 1003
Round Rock, TX 78664-3836

Phone

(512) 677-4183

Fax

(866) 617-5633

NPI assigned

Aug 17, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1033664313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 WILD PETUNIA WAY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604184",
            "telephone_number": "281-685-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 DOUBLE CREEK DR",
            "address_2": "UNIT 1003",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643836",
            "telephone_number": "512-677-4183",
            "fax_number": "866-617-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIO",
        "middle_name": "JULIAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Maria Gonzalez, LAC
• Diana Gonzalez, RBT
• Jacob Edward Gonzalez, DNP, APRN, FNP-C
• Joshua Isaiah Gonzalez
• Juan Fernando Gonzalez, DMD
• Rafael Eduardo Gonzalez, M.D.
• Richard Gonzalez
• Joel Goode, MD
• Clarke Worley Goodman, M.D.
• USA Goodman

• Mental Health Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.