Active NPI
Ana Lily Gonzalez, LCPC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1407515919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.015348
- Practice address
- 7639 N Greenview Ave Apt 3W
Chicago, IL 60626-1291 - Phone
- (312) 884-9047
- NPI assigned
- Dec 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.016294 | IL | |
| Mental Health Counselor | 101YM0800X | 180.015348 | IL | Primary |
Addresses
Primary practice location
7639 N Greenview Ave Apt 3W
Chicago, IL 60626-1291
Mailing address
7639 N Greenview Ave Apt 3W
Chicago, IL 60626-1291
Phone (312) 884-9047
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lily@movingmosaiccounseling.com | ||
| Direct Messaging Address | lily@movingmosaiccounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.016294 | IL | MD | Mental Health Counselor |
| 180.015348 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moving Mosaic Therapy & Counseling, PLLC | Mental Health | Current | Accepting new patients |
Locations
5153 N Clark St
Ste 306
Chicago, IL 60640
Phone (312) 690-3140
Organizations & group practices 1
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.
-
- Professional Counselor
- North Riverside, IL
- NPI 1093474652
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1407515919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7639 N GREENVIEW AVE APT 3W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261291",
"telephone_number": "312-884-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7639 N GREENVIEW AVE APT 3W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261291",
"telephone_number": "312-884-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ANA",
"middle_name": "LILY",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-12",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.016294",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.015348",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lily@movingmosaiccounseling.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "7639 N Greenview Ave Apt 3W",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606261291",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lily@movingmosaiccounseling.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "7639 N Greenview Ave Apt 3W",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606261291",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.