Michelle Gonzales LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MICHELLE GONZALES LLC

Practice address

579 N 1St Bank Dr Ste 150
Palatine, IL 60067-8102

Phone

(630) 430-7639

NPI assigned

Oct 3, 2019

Last updated

Oct 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Jean Newman, BA CPC

Title

Billing Administrator

Phone

(708) 560-6653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Gonzales, LCSW, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Grayslake, IL
  • NPI 1306239520
  Medicare reassignment

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1144861865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S WATERFORD DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600739590",
            "telephone_number": "708-560-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 N 1ST BANK DR STE 150",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678102",
            "telephone_number": "630-430-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE GONZALES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "708-560-6653",
        "authorized_official_credential": "BA CPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Messina
• Susan Meyers
• MH Health Care Services, PC (Palatine Local 597 Family Wellness Center)
• Michael P. Kennedy, LLC
• Michelle Delarosa Therapy, LCPC, LLC
• Michelle Kukla PSYD PC
• Emma Mikan
• Victoria Ann Mikos, MS, CCC-SLP
• Miller Therapy LLC
• Douglas Miller

• Clinical Social Worker in Palatine, IL
• Providers in Palatine, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.