Antoanette Olenka Gonzales

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1500 Boston Providence Tpke Ste 38
Norwood, MA 02062-4631

Phone

(781) 747-8497

NPI assigned

Aug 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 20, 2026 through May 20, 2028

Medicare enrollment (NPD)

Not 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.

• Keena N. Allen, Psy.D LLC

  • Clinical Psychologist
  • Norwood, MA
  • NPI 1629799705
  NPD

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1386326379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PLANTATION ST APT 1028",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016047744",
            "telephone_number": "239-250-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BOSTON PROVIDENCE TPKE STE 38",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624631",
            "telephone_number": "781-747-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Plantation St Apt 1028",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016047744",
            "country_code": "US",
            "telephone_number": "239-250-9029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ANTOANETTE",
        "middle_name": "OLENKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Goldberg, PHD
• Jeffrey Scott Goldman, MSPT
• Meredith J Goldsmith, LICSW
• Kelly Goncalves, PA-C
• Kristen Goncalves, RN
• Cristian Daniel Gonzalez, M.D.
• Good Health Homecare LLC
• Good Path Health Services Inc
• Roger Good
• Taylor Goodhue, DPT

• Mental Health Counselor in Norwood, MA
• Providers in Norwood, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.