Jisandry Gonzalez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2120 L St NW
Washington, DC 20037-1527

Phone

(202) 741-2900

NPI assigned

Oct 27, 2022

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

George Washington University School of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Latin American Youth Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1598805335
  NPD (past)
• Latin American Youth Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1851830665
  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1073220208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 QUINCY ST NW APT 523",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115869",
            "telephone_number": "202-696-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 L ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371527",
            "telephone_number": "202-741-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Columbia Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200094705",
            "country_code": "US",
            "telephone_number": "202-319-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JISANDRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Gonzalez, LGPC
• Diego Gonzalez
• Estela M. Gonzalez, MD
• Graciela Gonzalez, MD
• Jenie Gonzalez
• Kristin Gonzalez, LICSW
• Lisanna Stamos Gonzalez, MSN, RN, FNP-BC
• Milagros Completo Gonzalez, M.ED., R.D., L.D.,
• Nelida Gonzalez, MD
• Rasheeda Gonzalez

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.