Individual provider Active NPI

Tatiana Gonzalez

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1265278394
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4700 N Congress Ave Ste 200
West Palm Beach, FL 33407-3291
Phone
(866) 205-1382
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FL
Mental Health Counselor 101YM0800X Primary
Mental Health Counselor 101YM0800X IMH26186 FL

Addresses

Primary practice location

4700 N Congress Ave Ste 200
West Palm Beach, FL 33407-3291

Mailing address

200 Crosswinds Dr Apt B1
Greenacres, FL 33413-2022
Phone (646) 342-6337

Other practice location 1

4700 N Congress Ave Ste 200
West Palm Beach, FL 33407-3291
Phone (866) 205-1382

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

LicenseStateTypeSpecialty
IMH26186FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harm Reduction Center LLC CurrentSince Apr 24, 2024 Accepting new patients

Locations

631 US Highway 1
Ste 100
North Palm Beach, FL 33408
Phone (561) 602-5224

4700 N Congress Ave
Ste 200
West Palm Beach, FL 33407
Phone (561) 602-5224

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1265278394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CROSSWINDS DR APT B1",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132022",
            "telephone_number": "646-342-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073291",
            "telephone_number": "866-205-1382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 N Congress Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073291",
            "country_code": "US",
            "telephone_number": "866-205-1382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TATIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.