Individual provider Active NPI

Ariana Montes Gonzalez, LAC

  • Counselor
  • Yuma, AZ
National Provider Identifier
1114789096
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC-22597 Issued in AZ
Practice address
281 W 24TH St Ste 123
Yuma, AZ 85364-8539
Phone
(928) 247-6430
Fax
(928) 436-8669
NPI assigned
Jan 26, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-22597 AZ Primary

Addresses

Primary practice location

281 W 24TH St Ste 123
Yuma, AZ 85364-8539

Mailing address

281 W 24TH St Ste 123
Yuma, AZ 85364-8539
Phone (928) 247-6430

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

State licenses

LicenseStateTypeSpecialty
LAC-22597AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Latibule Counseling, PLLC PastSince Jan 28, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1114789096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 W 24TH ST STE 123",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648539",
            "telephone_number": "928-247-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 W 24TH ST STE 123",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648539",
            "telephone_number": "928-247-6430",
            "fax_number": "928-436-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES GONZALEZ",
        "first_name": "ARIANA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-22597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.