Individual provider Active NPI

Lori Ann Gonzalez

  • Professional Counselor
  • Mission, TX
National Provider Identifier
1306332598
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76720 Issued in TX
Practice address
909 Business Park Dr Ste 11
Mission, TX 78572-6054
Phone
(956) 766-7441
Fax
(956) 766-7012
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14188 TX
Professional Counselor 101YP2500X 76720 TX Primary
Mental Health Counselor 101YM0800X 76720 TX

Addresses

Primary practice location

909 Business Park Dr Ste 11
Mission, TX 78572-6054

Mailing address

2715 Mimosa St Apt 10
Mission, TX 78574-3343
Phone (956) 400-6729

Other practice location 1

1808 Tiffany Ave
Mission, TX 78574-5222
Phone (956) 400-6729

Other names 1

  • Lori Ann Lopez Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14188TXMDCounselor
76720TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cci Therapy -Counseling Centers International Professional CurrentSince Nov 1, 2024 Accepting new patients
Eudaimonia PLLC Professional PastSince Mar 14, 2024 Accepting new patients

Locations

908 Paredes Line Rd
Brownsville, TX 78521
Phone (956) 572-0100

1001 E Tyler Ave
Harlingen, TX 78550
Phone (239) 404-6641

Organizations & group practices 2

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1306332598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 MIMOSA ST APT 10",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785743343",
            "telephone_number": "956-400-6729",
            "fax_number": "956-766-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BUSINESS PARK DR STE 11",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726054",
            "telephone_number": "956-766-7441",
            "fax_number": "956-766-7012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 Tiffany Ave",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785745222",
            "country_code": "US",
            "telephone_number": "956-400-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LORI",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14188",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76720",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "LOPEZ",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.