Active NPI
Michael J Gonzalez, MACP
- Mental Health Counselor
- Miami Gardens, FL
National Provider Identifier
1194199810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH11450
- Practice address
- 20000 NW 47TH Ave
Hector Building (#2)
Miami Gardens, FL 33055-1543 - Phone
- (305) 430-0085
- Fax
- (305) 474-1312
- NPI assigned
- Nov 18, 2015
- Sex
- Male
- 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 | IMH11450 | FL | Primary |
Addresses
Primary practice location
20000 NW 47TH Ave
Hector Building (#2)
Miami Gardens, FL 33055-1543
Mailing address
20000 NW 47TH Ave
Hector Building (#2)
Miami Gardens, FL 33055-1543
Phone (305) 430-0085
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH11450 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| His House, Inc. | Past | Accepting new patients | |
| His House, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Miami Gardens, FL
- NPI 1568846756
-
- Case Management Agency
- Opa Locka, FL
- NPI 1912102005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1194199810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20000 NW 47TH AVE",
"address_2": "HECTOR BUILDING (#2)",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330551543",
"telephone_number": "305-430-0085",
"fax_number": "305-474-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20000 NW 47TH AVE",
"address_2": "HECTOR BUILDING (#2)",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330551543",
"telephone_number": "305-430-0085",
"fax_number": "305-474-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MACP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH11450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.