Julio Carlos Gonzalez Martinez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011216 Issued in NY

Practice address

220 Roanoke Ave
Riverhead, NY 11901-2755

Phone

(631) 809-2286

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1043890650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 NEWTON AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014700",
            "telephone_number": "631-809-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012755",
            "telephone_number": "631-809-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MARTINEZ",
        "first_name": "JULIO",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Gluck, MD
• Celeste Gneco-Vasquez, LCSWR
• Sydney Michelle Gobrick, PA
• Alan Goldenberg, MD
• Haneesha Goli
• Megan Gonzalez
• Laura Goode, RN
• Rose Christine Gooding, M.D.
• Robert Goodman, M.D.
• Tamara Gorelik

• Mental Health Counselor in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.