Individual provider Active NPI

Rory Gil Gerard-Govea, LPC, CADC I, LMHC

  • Mental Health Counselor
  • Waxahachie, TX
National Provider Identifier
1356529127
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60572587 Issued in WA
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

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500653546MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, MI, TX, UT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20250305001063 OR Practitioner - Mental Health Counselor 9638690894 Reassigns benefits to 1 organization
I20250306001677 WA Practitioner - Mental Health Counselor 9638690894 Reassigns benefits to 1 organization
I20260406001058 MI Practitioner - Mental Health Counselor 9638690894 Reassigns benefits to 1 organization
I20260408001972 TX Practitioner - Mental Health Counselor 9638690894 Reassigns benefits to 1 organization
I20260415003596 UT Practitioner - Mental Health Counselor 9638690894 Reassigns benefits to 1 organization

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
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

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

LicenseStateTypeSpecialty
C-3025ORMDMental Health Counselor
C 3025ORMDProfessional Counselor
LH60572587WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Feb 26, 2025 Accepting new patients
North Coast Counseling Professional PastSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.