Active NPI
Ana Cecilia Ortiz Gil Gonzalez, LMFT
- Marriage & Family Therapist
- Mission, TX
National Provider Identifier
1295240075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202806
- Practice address
- 2112 S Shary Rd
Mission, TX 78572-0009 - Phone
- (956) 583-0206
- Fax
- (956) 583-0206
- NPI assigned
- Dec 3, 2017
- Last updated
- Dec 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 202806 | TX | Primary |
Addresses
Primary practice location
2112 S Shary Rd
Mission, TX 78572-0009
Mailing address
3501 San Ricardo St
Mission, TX 78572-2842
Phone (956) 583-0206
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202806 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512259200000",
"number": "1295240075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 SAN RICARDO ST",
"city": "MISSION",
"state": "TX",
"postal_code": "785722842",
"telephone_number": "956-583-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 S SHARY RD",
"city": "MISSION",
"state": "TX",
"postal_code": "785720009",
"telephone_number": "956-583-0206",
"fax_number": "956-583-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ GIL GONZALEZ",
"first_name": "ANA",
"middle_name": "CECILIA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-03",
"last_updated": "2017-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
- Optimum Kids LTD (Mission Autism Center & Kids Rehab)
- Optimum Pediatrics PLLC
- Optimum Therapy Mission
- Oraciones Primary Home Care LLC
- Orthopedic Physical Therapy Associates PLLC
- Arturo A Ortiz, MD
- Andrew Jackson Osborne, CRNA
- Oscar V Gonzalez El Vaquero Adult Daycare
- Osmin Vargas Family Clinic PLLC
- Cynthia Ostolaza, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.