Individual provider Active NPI

Ana Lily Gonzalez, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1407515919
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.015348 Issued in IL
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

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
178.016294ILMDMental Health Counselor
180.015348ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Mosaic Therapy & Counseling, PLLC Mental Health CurrentSince Dec 21, 2021 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.

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.

Verify at the official NPI Registry.