Active NPI
Krystyna Gonzalez, LCSW
- Clinical Social Worker
- Las Cruces, NM
National Provider Identifier
1245751502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12110
- Practice address
- 136 S Main St Ste 2
Las Cruces, NM 88001-1266 - Phone
- (575) 621-4025
- NPI assigned
- Jun 27, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12110 | NM | Primary |
Addresses
Primary practice location
136 S Main St Ste 2
Las Cruces, NM 88001-1266
Mailing address
2260 E Lohman Ave # 1139
Las Cruces, NM 88001-8490
Phone (575) 323-0033
Other practice location 1
210 W Las Cruces Ave
Las Cruces, NM 88005-1804
Phone (575) 222-2922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41929519 | Medicaid | NM |
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 |
|---|---|---|---|
| 12110 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Montanas Therapy LLC | Clinical | Current | Accepting new patients |
| La Clinica de Familia, Incorporated | Past | Accepting new patients | |
| La Clinica de Familia, Incorporated | Past | Accepting new patients |
Locations
136 S Main St
Ste 2
Las Cruces, NM 88001
Phone (575) 323-0033
2360 E Lohman Ave
#1139
Las Cruces, NM 88001
2260 E Lohman Ave
Las Cruces, NM 88001
Phone (346) 746-1586
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1134917040
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1164802310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1245751502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 E LOHMAN AVE # 1139",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880018490",
"telephone_number": "575-323-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S MAIN ST STE 2",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011266",
"telephone_number": "575-621-4025"
}
],
"practiceLocations": [
{
"address_1": "210 W Las Cruces Ave",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880051804",
"country_code": "US",
"telephone_number": "575-222-2922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KRYSTYNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "12110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41929519",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.