Eva M Gonzales, PMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11396 Issued in NE

Practice address

2622 Avenue C
Scottsbluff, NE 69361-1680

Phone

(308) 632-8547

Fax

(308) 632-0135

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in NE

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Options in Psychology LLCGroup PAC ID 6901790708, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• IA HMO C-SNP
• CO HMO
• IA HMO

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.

• Options in Psychology LLC

  • Psychologist
  • Scottsbluff, NE
  • NPI 1184723025
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1043719057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 AVENUE C",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 AVENUE C",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611680",
            "telephone_number": "308-632-8547",
            "fax_number": "308-632-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "EVA",
        "middle_name": "M",
        "credential": "PMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynn Gomez
• Mayra Gomez
• Erica Maria Gonsalez
• Amanda Gonzales
• Ayris Gonzales
• Evaline Gonzales
• Kayla M Gonzales
• Kristen Gonzales
• Marina C Gonzales, APRN-NP
• Olivia R. Gonzalez, LADC

• Mental Health Counselor in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.