Active NPI
Christina J. Gonzalez, LMHC
- Mental Health Counselor
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7506
- Practice address
- 840 Beach Dr NE
St Petersburg, FL 33701-2012 - Phone
- (813) 361-9696
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7506 | FL | Primary |
Addresses
Primary practice location
840 Beach Dr NE
St Petersburg, FL 33701-2012
Mailing address
840 Beach Dr NE
St Petersburg, FL 33701-2012
Phone (813) 361-9696
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762765300. | Medicaid | FL | |
| 811407200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WA, CO, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1455 NW Leary Way
Suite 400
Seattle, WA 98107-5138
Phone (206) 202-8506
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7506 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1114903069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 BEACH DR NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337012012",
"telephone_number": "813-361-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 BEACH DR NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337012012",
"telephone_number": "813-361-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CHRISTINA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "7506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762765300.",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811407200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.