Individual provider Active NPI

Daniel Rodriguez Gonzalez, MS, AAC

  • Counselor
  • Vancouver, WA
National Provider Identifier
1275235053
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
61347830 Issued in WA
Practice address
7803 NE Fourth Plain Blvd Ste a
Vancouver, WA 98662-7294
Phone
(360) 566-4432
Fax
(360) 695-0628
NPI assigned
Mar 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 61347830 WA Primary

Addresses

Primary practice location

7803 NE Fourth Plain Blvd Ste a
Vancouver, WA 98662-7294

Mailing address

7803 NE Fourth Plain Blvd Ste a
Vancouver, WA 98662-7294
Phone (360) 566-4432

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
61347830WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Oct 20, 2024 Accepting new patients

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1275235053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 NE FOURTH PLAIN BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986627294",
            "telephone_number": "360-566-4432",
            "fax_number": "360-695-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 NE FOURTH PLAIN BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986627294",
            "telephone_number": "360-566-4432",
            "fax_number": "360-695-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "DANIEL",
        "credential": "MS, AAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "61347830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.