Brenna Gonzales, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-16522 Issued in AZ

Practice address

7330 N 16TH St Ste C115
Phoenix, AZ 85020-8209

Phone

(602) 935-7889

NPI assigned

May 14, 2019

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1053977199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E DUNLAP AVE STE 1-117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850207809",
            "telephone_number": "602-935-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 N 16TH ST STE C115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850208209",
            "telephone_number": "602-935-7889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28901 N 114th St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852624757",
            "country_code": "US",
            "telephone_number": "480-430-0698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9220 E Vereda Solana Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852553655",
            "country_code": "US",
            "telephone_number": "480-430-0698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "BRENNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analyssa Gonzales
• Anisah Gonzales
• Anthony Lawrence Gonzales, R.N.
• Arnold Gonzales
• Arthur Gonzales
• Chanda Lise Gonzales, LISAC, LPC
• Deborah A Gonzales, MD
• Donna Bush Gonzales, R.N.
• Faith Marie Gonzales
• Jenna Lee Gonzales, AGACNP

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.