Roberto Gonzales

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

06763 Issued in TX

Practice address

506 Glascow St
Victoria, TX 77904-1406

Phone

(361) 576-3385

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reclamation Counseling Center, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Victoria, TX
  • NPI 1780053579
  NPD (past)
• Reclamation Counseling Center, PC

  • Professional Counselor
  • Victoria, TX
  • NPI 1922117910
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376653337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 GUINEVERE ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GLASCOW ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041406",
            "telephone_number": "361-576-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "06763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "84439L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Crescent Medical Clinic
• Golden Crescent Regional Planning Commission
• Linda Victoria Gomez, DPT
• Sanida Michelle Gomez, APRN, FNP-C
• Uri L Gonik, PH.D.
• Arturo Gabriel Gonzalez, MD
• Dana Marie Gonzalez, M.D.
• Mark Anthony Gonzalez, MD
• Raymond Edward Gonzalez, D.D.S.
• Goodale Ventures LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.