Individual provider Active NPI

Mariana Gonzalez, MA, LPC

  • Professional Counselor
  • Laredo, TX
National Provider Identifier
1043943772
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88676 Issued in TX
Practice address
6510 Polaris Dr Ste 1
Laredo, TX 78041-2054
Phone
(956) 477-0534
NPI assigned
Jul 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88676 TX Primary
Mental Health Counselor 101YM0800X 88676 TX

Addresses

Primary practice location

6510 Polaris Dr Ste 1
Laredo, TX 78041-2054

Mailing address

6510 Polaris Dr Ste 1
Laredo, TX 78041-2054
Phone (956) 477-0534

Other practice location 1

6510 Polaris Dr Ste 1
Laredo, TX 78041-2054
Phone (956) 962-4198

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 Arts

State licenses

LicenseStateTypeSpecialty
88676TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enriched Roots PLLC Mental Health Current Accepting new patients

Locations

6510 Polaris Dr
Ste 1
Laredo, TX 78041
Phone (956) 431-0402

6510 Polaris Dr
Ste 2
Laredo, TX 78041
Phone (956) 284-0780

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": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1043943772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 POLARIS DR STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412054",
            "telephone_number": "956-477-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 POLARIS DR STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412054",
            "telephone_number": "956-477-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 Polaris Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780412054",
            "country_code": "US",
            "telephone_number": "956-962-4198",
            "fax_number": "866-387-1142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIANA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88676",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.