Shannon Vasquez Gonzalez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

155 Willowbrook Dr
Ben Lomond, CA 95005-9714

Phone

(831) 663-5199

Fax

(831) 336-1033

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1255753901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK DR",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059714",
            "telephone_number": "831-663-5199",
            "fax_number": "831-336-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK DR",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059714",
            "telephone_number": "831-663-5199",
            "fax_number": "831-336-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ GONZALEZ",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Sandra Louise Skeen, RN, NP
• Jamie Marie Smoak, DC
• Ruby Esther Souza-Young
• Supernatural Beauty & Aesthetics Medical Group, PC
• Brett R Traynor
• Isabella Vasquez
• Adrian Grant Vega
• Courtney Walter
• Dawn April Whitaker
• Willowbrook Residential Care 1 LLC

• Mental Health Counselor in Ben Lomond, CA
• Providers in Ben Lomond, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.