Individual provider Active NPI

Benancio Gonzalez Jr., CASE MANAGEMENT

  • Case Management Agency
  • Harlingen, TX
National Provider Identifier
1245556422
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
63944 Issued in TX
Practice address
315 E Jackson St Ste 4
Harlingen, TX 78550-6849
Phone
(210) 391-7221
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 63944 TX
Mental Health Counselor 101YM0800X 63944 TX
Professional Counselor 101YP2500X 63944 TX
Case Manager/Care Coordinator 171M00000X 63944 TX
Case Management Agency 251B00000X 63944 TX Primary

Addresses

Primary practice location

315 E Jackson St Ste 4
Harlingen, TX 78550-6849

Mailing address

315 E Jackson St Ste 4
Harlingen, TX 78550-6849
Phone (210) 391-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111002048 TX Practitioner - Mental Health Counselor 9234561507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
De Santi Counseling ServicesGroup PAC ID 4880026152, 2 clinicians

Practice addresses (Care Compare)

315 E Jackson St
Suite 4
Harlingen, TX 78550-6849
Phone (956) 778-6886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63944TXMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
De Santi Counseling Services Professional CurrentSince Dec 14, 2023 Accepting new patients

Locations

315 E Jackson St
Ste 4
Harlingen, TX 78550
Phone (210) 391-7221

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1245556422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E JACKSON ST STE 4",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506849",
            "telephone_number": "210-391-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E JACKSON ST STE 4",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506849",
            "telephone_number": "210-391-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BENANCIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CASE MANAGEMENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "63944",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63944",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63944",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "63944",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "63944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.