Active NPI
Jessica Marie Gonzalez
- Community/Behavioral Health Agency
- North Las Vegas, NV
National Provider Identifier
1205339124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 3925 North Martin Luther King Blvd
Suite 207
North Las Vegas, NV 89032 - Phone
- (702) 684-7757
- Fax
- (702) 684-7381
- NPI assigned
- Mar 16, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3925 North Martin Luther King Blvd
Suite 207
North Las Vegas, NV 89032
Mailing address
3925 North Martin Luther King Blvd
Suite 207
North Las Vegas, NV 89032
Phone (702) 684-7757
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| There Is Hope | Community/Behavioral Health | Past | Accepting new patients |
| There Is Hope LLC | Community/Behavioral Health | 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
- North Las Vegas, NV
- NPI 1508303835
Community/Behavioral Health
-
- Community/Behavioral Health Agency
- North Las Vegas, NV
- NPI 1477053239
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1205339124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 NORTH MARTIN LUTHER KING BLVD",
"address_2": "SUITE 207",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-684-7757",
"fax_number": "702-684-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 NORTH MARTIN LUTHER KING BLVD",
"address_2": "SUITE 207",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-684-7757",
"fax_number": "702-684-7381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JESSICA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.