Stacy Speedlin Gonzalez, PH.D, LPC-S, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71780 Issued in TX

Practice address

4115 Medical Dr Ste 410
San Antonio, TX 78229-5637

Phone

(210) 369-9424

Fax

(210) 615-1122

NPI assigned

May 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Luz Counseling and Consulting, PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1386310621
  Medicare reassignment NPD Authorized official
• Bexar County Board of Trustees for Mental Health Mental Retardation

  • Counselor
  • San Antonio, TX
  • NPI 1730134586

  Professional

  NPD (past)

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1457730533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295637",
            "telephone_number": "210-369-9424",
            "fax_number": "210-615-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295637",
            "telephone_number": "210-369-9424",
            "fax_number": "210-615-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STACY",
        "middle_name": "SPEEDLIN",
        "credential": "PH.D, LPC-S, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71780",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Guadalajara Gonzalez
• Selsabeel Adham Gonzalez, D.M.D
• Sergio Gonzalez, QASP
• Shelby Danielle Gonzalez, CPNP-PC
• Silke N Gonzalez
• Stephanie Gonzalez
• Steven Salinas Gonzalez, PH.D.
• Tana Renee Gonzalez, LMT
• Valeska Salvo Gonzalez, M.D.
• Vanessa Gonzalez, MSN, RN, CNL, CHPN

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.