Active NPI
George A Gonzalez, LMFT
- Marriage & Family Therapist
- Harlingen, TX
National Provider Identifier
1306059696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2630
- Practice address
- 1313 W Buchanan St
Harlingen, TX 78550-6221 - Phone
- (956) 266-1813
- NPI assigned
- May 7, 2007
- Sex
- Male
- 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 | 2630 | TX | Primary |
Addresses
Primary practice location
1313 W Buchanan St
Harlingen, TX 78550-6221
Mailing address
PO Box 1036
Weslaco, TX 78599-1036
Phone (956) 266-1813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113168203 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- george.gonzalez.p1@direct.bchc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1306059696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1036",
"city": "WESLACO",
"state": "TX",
"postal_code": "785991036",
"telephone_number": "956-266-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 W BUCHANAN ST",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785506221",
"telephone_number": "956-266-1813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GEORGE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "2630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113168203",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.