Individual provider Active NPI

Michaela Lorene Gonzalez, LPCC

  • Professional Counselor
  • Columbia, KY
National Provider Identifier
1265154629
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
299315 Issued in KY
Practice address
705 Wright Dr
Columbia, KY 42728-1125
Phone
(270) 380-1944
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 299315 KY Primary

Addresses

Primary practice location

705 Wright Dr
Columbia, KY 42728-1125

Mailing address

PO Box 1145
Jamestown, KY 42629-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250627003278 KY Practitioner - Mental Health Counselor 9537672035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Professional Counseling, LLC Professional CurrentSince Jun 12, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 16, 2025 Accepting new patients

Locations

705 Wright Dr
Columbia, KY 42728
Phone (270) 380-1944

312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1265154629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "426291145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WRIGHT DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281125",
            "telephone_number": "270-380-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MICHAELA",
        "middle_name": "LORENE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "299315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.