Active NPI
Jasmine Gonzalez, MS, LPC, NCC
- Counselor
- Dallas, TX
National Provider Identifier
1043885627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 81423
- Practice address
- 16610 Dallas Pkwy Ste 2100
Dallas, TX 75248-2690 - Phone
- (972) 733-3988
- NPI assigned
- May 25, 2021
- Last updated
- May 25, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 81423 | TX | Primary |
Addresses
Primary practice location
16610 Dallas Pkwy Ste 2100
Dallas, TX 75248-2690
Mailing address
1616 Canals Dr
Little Elm, TX 75068-0629
Phone (954) 670-3141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81423 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1043885627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CANALS DR",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750680629",
"telephone_number": "954-670-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16610 DALLAS PKWY STE 2100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752482690",
"telephone_number": "972-733-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JASMINE",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "81423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.