Individual provider Active NPI

Nina Mia Gonzalez, LAC

  • Mental Health Counselor
  • Newton, NJ
National Provider Identifier
1033814850
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00649700 Issued in NJ
Practice address
30 Moran St Ste 2
Newton, NJ 07860-1832
Phone
(973) 726-4533
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00649700 NJ Primary

Addresses

Primary practice location

30 Moran St Ste 2
Newton, NJ 07860-1832

Mailing address

30 Moran St Ste 2
Newton, NJ 07860-1832
Phone (973) 726-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508003521 NJ Practitioner - Mental Health Counselor 4789101106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Human First Counseling ServicesGroup PAC ID 5799145082, 3 clinicians

Practice addresses (Care Compare)

39 Kennedy Rd
Suite 39a
Andover, NJ 07821-2308
Phone (862) 284-7187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00649700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Human First Counseling Services CurrentSince May 1, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1033814850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MORAN ST STE 2",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601832",
            "telephone_number": "973-726-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MORAN ST STE 2",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601832",
            "telephone_number": "973-726-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NINA",
        "middle_name": "MIA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00649700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.