Active NPI
Rory Gil Gerard-Govea, LPC, CADC I, LMHC
- Mental Health Counselor
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60572587
- Practice address
- 1831 John Arden Dr Apt 145
Waxahachie, TX 75165-4631 - Phone
- (503) 515-2545
- Fax
- (503) 961-9858
- NPI assigned
- Feb 4, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13-03-20 | OR | |
| Mental Health Counselor | 101YM0800X | C-3025 | OR | |
| Professional Counselor | 101YP2500X | LH60572587 | WA | |
| Professional Counselor | 101YP2500X | C 3025 | OR | |
| Mental Health Counselor | 101YM0800X | LH60572587 | WA | Primary |
Addresses
Primary practice location
1831 John Arden Dr Apt 145
Waxahachie, TX 75165-4631
Mailing address
1831 John Arden Dr Apt 145
Waxahachie, TX 75165-4631
Phone (503) 515-2545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500653546 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, MI, TX, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Portland, OR 97223
Phone (866) 630-0966
1400 112TH Ave SE
Suite 100
Bellevue, WA 98004-6901
Phone (866) 630-0966
2031 Rambling Rd
Kalamazoo, MI 49008-1632
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-3025 | OR | MD | Mental Health Counselor |
| C 3025 | OR | MD | Professional Counselor |
| LH60572587 | WA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind, P.a. | Mental Health | Current | Accepting new patients |
| North Coast Counseling | Professional | Past | Accepting new patients |
Locations
2031 Rambling Rd
Kalamazoo, MI 49008
Phone (269) 344-9490
10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338
1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526
Organizations & group practices 3
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.
-
- Professional Counselor
- Astoria, OR
- NPI 1033562079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1356529127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 JOHN ARDEN DR APT 145",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751654631",
"telephone_number": "503-515-2545",
"fax_number": "503-961-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 JOHN ARDEN DR APT 145",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751654631",
"telephone_number": "503-515-2545",
"fax_number": "503-961-9858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD-GOVEA",
"first_name": "RORY",
"middle_name": "GIL",
"name_prefix": "Mr.",
"credential": "LPC, CADC I, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "13-03-20",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C-3025",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH60572587",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C 3025",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60572587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500653546",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.