Miguel Gonzalez, MS,OBLPCT LPC INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4890 32ND Ave SE
Salem, OR 97317-9350

Phone

(503) 588-5647

NPI assigned

Sep 5, 2018

Last updated

Sep 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miguel.gonzalezreyes.p1@direct.wfamilymed.nextgenshare.com

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.

• Willamette Family Medical Center Inc

  • Family Medicine Physician
  • Salem, OR
  • NPI 1649386418
  Medicare reassignment NPD
• Christian Community Placement Center

  dba Connections365

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1174698971
  NPD (past)
• Christian Community Placement Center

  • Foster Care Agency
  • Salem, OR
  • NPI 1700194875
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1164904124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973700946",
            "telephone_number": "503-562-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 32ND AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973179350",
            "telephone_number": "503-588-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MIGUEL",
        "credential": "MS,OBLPCT LPC INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuritzy A Gonzalez Pena
• David Gonzalez-Galindo
• Alejandro Gonzalez
• Jasmine Bianca Gonzalez
• Katie Gonzalez
• Good Sense Counseling, LLC
• Deborah Good
• Susan E Good, RN
• Dana Goodale, MSW, QMHA
• Michael E Goodenberger, MD

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.