Marisa Gonzales, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81389 Issued in TX

Practice address

16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945

Phone

(210) 209-0642

Fax

(855) 357-8282

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling4Life, LLCGroup PAC ID 5496163511, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling4Life, LLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1932519063
  Medicare reassignment Care Compare group NPD
• Stephanie a Richards LPC, PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1609634328
  NPD
• Goodmindrx

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
  • NPI 1922837491
  NPD (past)
• Reclamation Counseling Center, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Victoria, TX
  • NPI 1780053579
  NPD (past)
• Reclamation Counseling Center, PC

  • Professional Counselor
  • Victoria, TX
  • NPI 1922117910
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664668800000",
    "number": "1245904069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 1404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321945",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 1404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321945",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Gonzales, CPHT
• Lucy Gonzales
• Marcela Barrera Gonzales, M.ED, LPC
• Marcus Anthony Gonzales, RBT-23-266695
• Maria Esmeralda Gonzales, FNP-C
• Marisa Beth Gonzales, DNP, APRN, PMHNP-BC
• Marisa Danielle Gonzales, MLS(ASCP)
• Marissa Gonzales, MA, BCBA, LBA
• Mary Laura Gonzales, MS, CCC-SLP
• Max Gonzales

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2022; 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.

Verify at the official NPI Registry.