Individual provider Active NPI

Gabriela L Gonzales

  • Professional Counselor
  • Nacogdoches, TX
National Provider Identifier
1225828197
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
97914 Issued in TX
Practice address
115 N University Dr Ste a
Nacogdoches, TX 75961-5126
Phone
(936) 371-1172
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 97914 TX Primary

Addresses

Primary practice location

115 N University Dr Ste a
Nacogdoches, TX 75961-5126

Mailing address

1324 Pruitt Hill Dr Apt 308
Nacogdoches, TX 75961-4632
Phone (936) 205-7999

Other names 1

  • Gabriela L Kilmer Former name

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

LicenseStateTypeSpecialty
97914TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cordova Counseling Services PLLC Professional CurrentSince May 18, 2025 Accepting new patients

Locations

115 N University Dr
Ste A
Nacogdoches, TX 75961
Phone (936) 371-1172

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1225828197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 PRUITT HILL DR APT 308",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614632",
            "telephone_number": "936-205-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N UNIVERSITY DR STE A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615126",
            "telephone_number": "936-371-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "GABRIELA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "97914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "KILMER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.