Jesse Daniel Gonzales

Primary specialty

CounselorTaxonomy code 101Y00000X

License

60806509 Issued in WA

Practice address

615 8TH St
Hoquiam, WA 98550-3522

Phone

(360) 532-4357

Fax

(360) 538-0124

NPI assigned

May 2, 2018

Last updated

May 2, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1205325503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322316",
            "telephone_number": "360-423-0203",
            "fax_number": "360-423-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 8TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503522",
            "telephone_number": "360-532-4357",
            "fax_number": "360-538-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JESSE",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60806509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn RCJ Gatlin, MSW, LSWAIC
• Jacqueline Ann Gilles, RN
• Brenda Lea Girard
• Kelly Gleason
• Jaymi Goetze
• Shelbie Lynne Graff, RN
• Grays Harbor Community Hospital (GHCH Hoquiam Clinic)
• Grays Harbor Community Hospital (GHCH Hoquiam Clinic)
• Grays Harbor Therapies LLC
• Gregory Alan Grun, RPH

• Counselor in Hoquiam, WA
• Providers in Hoquiam, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.