Odalis Janet Panza Gonzales, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P139277 Issued in NY

Practice address

25 Willowbrook Rd
Queensbury, NY 12804-5882

Phone

(518) 926-7100

NPI assigned

Oct 31, 2025

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Behavioral Health Services North, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Queensbury, NY
  • NPI 1447005541
  NPD

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1386513158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 US OVAL STE 218",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WILLOWBROOK RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045882",
            "telephone_number": "518-926-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZA GONZALES",
        "first_name": "ODALIS",
        "middle_name": "JANET",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P139277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Otero
• Outta Sight Massotherapy, LLC
• PA Medical Supply Inc
• Edward John Pacyna, MASSAGE THERAPIST
• Kristen Palmer, P.T.
• Albert Paolano, M.D.
• Anne Paolano, PT
• Marice Pappo, PH.D.
• Michael C Parisi, PT
• David Charles Parsons, D.M.D.

• Mental Health Counselor in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.