Individual provider Active NPI

Marian Anita Gonzales, MA; LMHC; MHS

  • Mental Health Counselor
  • Tumwater, WA
National Provider Identifier
1316475486
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60026373 Issued in WA
Practice address
6005 Tyee Dr SW
Tumwater, WA 98512-7356
Phone
(360) 464-6812
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60026373 WA Primary

Addresses

Primary practice location

6005 Tyee Dr SW
Tumwater, WA 98512-7356

Mailing address

6005 Tyee Drive SW
Tumwater, WA 98506
Phone (360) 464-6812

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

LicenseStateTypeSpecialty
LH60026373WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marian Gonzales Counseling LLC Mental Health CurrentSince Apr 17, 2022 Accepting new patients

Locations

6005 Tyee Dr SW
Tumwater, WA 98512
Phone (360) 464-6700

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1316475486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 TYEE DRIVE SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-464-6812",
            "fax_number": "360-464-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 TYEE DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127356",
            "telephone_number": "360-464-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARIAN",
        "middle_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "MA; LMHC; MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60026373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.