Gizelle Gonzalez

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2804 W Belmont Ave Ste 103
Chicago, IL 60618-5879

Phone

(224) 504-9854

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1174118129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 W BELMONT AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185879",
            "telephone_number": "224-504-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 W BELMONT AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185879",
            "telephone_number": "224-504-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GIZELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gizelle@kozioltherapyandcoaching.com",
            "affiliation": "Y",
            "endpointDescription": "HIPAA-compliant work email",
            "affiliationName": "Koziol Therapy and Coaching, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2804 W Belmont Ave Ste 103",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606185879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Enrique Gonzalez, PH.D.
• Evert Gonzalez
• Fernando Gonzalez III, LCSW
• Frank Gonzalez, M.D.
• Gabriel Gonzalez, RBT
• Grisel Gonzalez
• Hanna Christi Gonzalez
• Isabel Gonzalez
• Itzel Gonzalez
• Iveliss Gonzalez, PHARMD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.