Timothy Jorge Gonzales

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178020754 Issued in IL

Practice address

550 W Frontage Rd Ste 3825
Northfield, IL 60093-1262

Phone

(847) 821-9346

Fax

(847) 821-0545

NPI assigned

Oct 22, 2024

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Stone Partners LLC

  dba White Stone Counseling Resources

  • Professional Counselor
  • Lake Bluff, IL
  • NPI 1801543616
  NPD
• White Stone Resources LTD.

  • Professional Counselor
  • Palatine, IL
  • NPI 1124159124
  NPD (past)

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1447071451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 INGLENOOK LN",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315126",
            "telephone_number": "224-616-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W FRONTAGE RD STE 3825",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931262",
            "telephone_number": "847-821-9346",
            "fax_number": "847-821-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "TIMOTHY",
        "middle_name": "JORGE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178020754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Glassman, LCPC
• GMC Dentistry LTD (North Coast Dental)
• John Frederick Golan, MD
• Daniel J. Goldstein, M.D.
• Janine Mary Goldstein, PH.D.
• Bruce Gordon, LCSW
• Matthew Woods Gordon, BA
• Virginia Klein Gordon, MSW
• Audrey Gothard, MED
• Prudence L Gourguechon, M.D.

• Counselor in Northfield, IL
• Providers in Northfield, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.