Jeremy Barrera Gonzalez, LPC,LCDC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

71891 Issued in TX

Practice address

2882 Holly Rd
Corpus Christi, TX 78415-4106

Phone

(361) 814-2001

NPI assigned

Feb 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jeremy Gonzalez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1255923454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WEBER RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784134700",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154106",
            "telephone_number": "361-814-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JEREMY",
        "middle_name": "BARRERA",
        "name_prefix": "Mr.",
        "credential": "LPC,LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14033",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71891",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "71891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "GONZALEZ",
            "credential": "LPC,LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eva Samantha Gonzalez
• Facundo Gaston Gonzalez, MD
• Fernando Gonzalez, DMD
• Giselle Diane Gonzalez, M.S., CCC-SLP
• Javiera Gonzalez, MD
• Karen Leann Gonzalez, DT
• Kathryn Gonzalez, OTR
• Kendra Gonzalez, PHARM. D.
• Kristie Nicole Gonzalez
• Lianna Danielle Gonzalez

• Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.