Mahdevi C Gonzalez, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3131 N Country Club Rd Ste 100
Tucson, AZ 85716-1650

Phone

(520) 229-6220

NPI assigned

Nov 16, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Center for Life Skills Development, LLC

  • Professional Counselor
  • Tucson, AZ
  • NPI 1134281504
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1083370738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 N COUNTRY CLUB RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161650",
            "telephone_number": "520-229-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 N COUNTRY CLUB RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161650",
            "telephone_number": "520-229-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MAHDEVI",
        "middle_name": "C",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMR",
            "identifier": "IDK",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.thecentertucson.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3131 N Country Club Rd Ste 100",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857161650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamiley Gonzalez
• Jennifer Kiara Gonzalez
• Jesus Gonzalez, LCSW
• Juan Manuel Gonzalez, CRNA
• Keith Orlando Gonzalez, M.D.
• Michelle A Gonzalez, ATC
• Nathan Gonzalez, CRNA
• Nery Gonzalez
• Roseanna Gonzalez
• Roxanna Gonzalez, MA LISAC LAC

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.