James L. Gonzales Counseling & Psychological Services PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1640 Issued in GA

Legal business name

JAMES L. GONZALES COUNSELING & PSYCHOLOGICAL SERVICES PC

Practice address

5435 Sugarloaf Pkwy
Suite 1103
Lawrenceville, GA 30043-5700

Phone

(770) 995-6026

Fax

(770) 995-6084

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James L. Gonzales, PHD

Title

Owner

Phone

(770) 995-6026

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1275808487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435700",
            "telephone_number": "770-995-6026",
            "fax_number": "770-995-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435700",
            "telephone_number": "770-995-6026",
            "fax_number": "770-995-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. GONZALES COUNSELING & PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-995-6026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00264939",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "027535",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00817275A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Jacobson, MD
• Rhonda Rochelle Jacobus
• Jacque Monae LLC
• Nazanin Jafarian, MD
• Sofia Jamal
• Alfiya James, LCSW
• Brenda Gerai James, MS, RBT
• Chanel James
• Glynice James
• Jacqueline L James

• Adult Mental Health Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.