Active NPI
William Gonzalez
- Clinical Social Worker
- Show Low, AZ
National Provider Identifier
1083550495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WILLIAM GONZALEZ
- Practice address
- 1100 E Deuce of Clubs Ste D
Show Low, AZ 85901-4943 - Phone
- (951) 834-3406
- Fax
- (951) 834-3406
- NPI assigned
- Apr 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marissa Gonzalez, OM, BHS
- Title
- Office Manager, Credentialing, BHS
- Phone
- (951) 834-3406
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
1100 E Deuce of Clubs Ste D
Show Low, AZ 85901-4943
Mailing address
PO Box 440
Vernon, AZ 85940-0440
Phone (951) 834-3406
Other names 1
- Show Low Counseling
National Provider Directory
National Provider DirectoryLocations
1100 E Deuce of Clubs
Ste D
Show Low, AZ 85901
Phone (664) 433-4183
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Show Low, AZ
- NPI 1194369470
-
- Clinical Social Worker
- Show Low, AZ
- NPI 1285815464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1083550495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440",
"city": "VERNON",
"state": "AZ",
"postal_code": "859400440",
"telephone_number": "951-834-3406",
"fax_number": "951-834-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E DEUCE OF CLUBS STE D",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859014943",
"telephone_number": "951-834-3406",
"fax_number": "951-834-3406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM GONZALEZ",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MARISSA",
"authorized_official_title_or_position": "OFFICE MANAGER, CREDENTIALING, BHS",
"authorized_official_telephone_number": "951-834-3406",
"authorized_official_credential": "OM, BHS"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Show Low Counseling",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.