Individual provider Active NPI

Ginna Gonzalez, MS

  • Mental Health Counselor
  • Weston, FL
National Provider Identifier
1043823255
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2645 Executive Park Dr Ste 149
Weston, FL 33331-3624
Phone
(786) 925-0023
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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 Primary

Addresses

Primary practice location

2645 Executive Park Dr Ste 149
Weston, FL 33331-3624

Mailing address

15425 SW 32ND Ter
Miami, FL 33185-4727
Phone (786) 925-0023

Other practice location 1

8910 Miramar Pkwy Ste 207
Miramar, FL 33025-4961
Phone (954) 367-2840

Other identifiers 1

IdentifierTypeStateIssuer
00000000OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ginna@fullcircletherapyllc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ginna G. Therapy, LLC Mental Health Current Accepting new patients
Florida Ocd and Anxiety Specialists, LLC Mental Health Current Accepting new patients

Organizations & group practices 2

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1043823255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 SW 32ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854727",
            "telephone_number": "786-925-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR STE 149",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "786-925-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8910 Miramar Pkwy Ste 207",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330254961",
            "country_code": "US",
            "telephone_number": "954-367-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GINNA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ginna@fullcircletherapyllc.com",
            "affiliation": "N",
            "endpointDescription": "Secure e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "2645 Executive Park Dr Ste 149",
            "city": "Weston",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333313624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.