Individual provider Active NPI

Yvonne Gonzalez, LMHC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1376528646
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4391 Issued in FL
Practice address
1451 10TH St
Sarasota, FL 34236
Phone
(941) 927-8900
Fax
(941) 927-6315
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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 4391 FL Primary

Addresses

Primary practice location

1451 10TH St
Sarasota, FL 34236

Mailing address

1451 10TH St
Sarasota, FL 34236-4048
Phone (941) 927-8900

Other practice location 1

365 6th Ave W
Bradenton, FL 34205-8820
Phone (941) 782-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240507002326 FL Practitioner - Mental Health Counselor 4284075383 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4391FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Florida, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Centerstone of Florida, Inc. PastSince Jul 4, 2021 Accepting new patients

Locations

2020 26th Ave E
Bradenton, FL 34208
Phone (941) 782-4600

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1376528646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 10TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364048",
            "telephone_number": "941-927-8900",
            "fax_number": "941-927-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 10TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34236",
            "telephone_number": "941-927-8900",
            "fax_number": "941-927-6315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 6th Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342058820",
            "country_code": "US",
            "telephone_number": "941-782-4114",
            "fax_number": "941-782-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "YVONNE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "4391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.