Active NPI
Jodie Lynn Gonzalez, LPC,LISAC
- Professional Counselor
- Buckeye, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-19626
- Practice address
- 20430 W Carla Vista
Buckeye, AZ 85326-4698 - Phone
- (602) 505-3797
- NPI assigned
- Oct 6, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-155232 | AZ | |
| Mental Health Counselor | 101YM0800X | LPC-19626 | AZ | |
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | LPC-19626 | AZ | Primary |
Addresses
Primary practice location
20430 W Carla Vista
Buckeye, AZ 85326-4698
Mailing address
575 S 143Rd Ave
Goodyear, AZ 85338-3005
Phone (602) 793-7609
Other practice location 1
13925 W Meeker Blvd Ste 9
Sun City West, AZ 85375-4431
Phone (480) 780-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2850 N Country Club Rd
Tucson, AZ 85716-1910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-155232 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-19626 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Escalera Health LLC | Current | Accepting new patients | |
| Kokoro Transitional Recovery and Counseling Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
575 S 143rd Ave
Goodyear, AZ 85338
Phone (602) 793-7609
13925 W Meeker Blvd
Ste 9
Sun City West, AZ 85375
Phone (480) 780-3030
2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
dba Entune Behavioral Health
- Family Medicine Physician
- Tucson, AZ
- NPI 1487146171
-
- Professional Counselor
- Goodyear, AZ
- NPI 1447096235
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1215534946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 S 143RD AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853383005",
"telephone_number": "602-793-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20430 W CARLA VISTA",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853264698",
"telephone_number": "602-505-3797"
}
],
"practiceLocations": [
{
"address_1": "13925 W Meeker Blvd Ste 9",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853754431",
"country_code": "US",
"telephone_number": "480-780-3030",
"fax_number": "480-780-0406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JODIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC,LISAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-06",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-155232",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-19626",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-19626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.