Active NPI
Bailey Michelle Gonzales, CADC, PRSS-S
- Addiction (Substance Use Disorder) Counselor
- Carson City, NV
National Provider Identifier
1225780380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 07657-C
- Practice address
- 119 E Long St
Carson City, NV 89706-2505 - Phone
- (775) 461-0025
- Fax
- (775) 461-0512
- NPI assigned
- Jan 20, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07657-C | NV | Primary |
Addresses
Primary practice location
119 E Long St
Carson City, NV 89706-2505
Mailing address
119 E Long St
Carson City, NV 89706-2505
Phone (775) 461-0025
Other names 1
- Bailey Michelle Wilson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bailey.gonzales@vitalityunlimited.org | Direct |
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 |
|---|---|---|---|
| 07657-C | NV | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- bailey.gonzalescdacintern.p1@direct.wthc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1225780380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 E LONG ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897062505",
"telephone_number": "775-461-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E LONG ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897062505",
"telephone_number": "775-461-0025",
"fax_number": "775-461-0512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "BAILEY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "CADC, PRSS-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "07657-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bailey.gonzales@vitalityunlimited.org",
"affiliation": "N",
"endpointDescription": "Company Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "119 E Long St",
"city": "Carson City",
"state": "NV",
"country_code": "US",
"postal_code": "897062505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BAILEY",
"last_name": "WILSON",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.