Evelyn Gonzalez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81936 Issued in TX

Practice address

12030 Bandera Rd Ste D
Helotes, TX 78023-4735

Phone

(210) 523-4200

Fax

(210) 692-4568

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neely Behavioral Health

  • Mental Health Counselor
  • Helotes, TX
  • NPI 1033879838
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1376202200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 S NEW BRAUNFELS AVE STE 110-191",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231707",
            "telephone_number": "210-692-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 BANDERA RD STE D",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234735",
            "telephone_number": "210-523-4200",
            "fax_number": "210-692-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EVELYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Maria Gillen
• Jordyn Gomez Martinez
• Jacob Gomez
• Katherine Rebecca Gomez, MA, LPC-A
• Alyssa Meshell Gonzalez
• Jacob Ramon Gonzalez
• Julia E Gonzalez, MA, LPC
• Donna Jane Gottwald, D.D.S.
• Caitlen Christine Gray
• Caitlin Griffin

• Professional Counselor in Helotes, TX
• Providers in Helotes, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.