Active NPI
Michael Gonzales
- Professional Counselor
- Springfield, OR
National Provider Identifier
1437524642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3995 Marcola Rd
Springfield, OR 97477-7948 - Phone
- (541) 726-1465
- NPI assigned
- Dec 14, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | OR | Primary | |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
3995 Marcola Rd
Springfield, OR 97477-7948
Mailing address
3995 Marcola Rd
Springfield, OR 97477-7948
Other practice location 1
1576 Prospect Dr
Eugene, OR 97403-2100
Phone (505) 948-2185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500679-999 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1437524642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3995 MARCOLA RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974777948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3995 MARCOLA RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974777948",
"telephone_number": "541-726-1465"
}
],
"practiceLocations": [
{
"address_1": "1576 Prospect Dr",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974032100",
"country_code": "US",
"telephone_number": "505-948-2185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500679-999",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.