Active NPI
Amanda Gabrielle Gonzalez, BA, MS.
- Counselor
- Larchmont, NY
National Provider Identifier
1477236768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2005 Palmer Ave # 606
Larchmont, NY 10538-2437 - Phone
- (855) 400-5683
- NPI assigned
- Aug 11, 2023
- Last updated
- Aug 11, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
2005 Palmer Ave # 606
Larchmont, NY 10538-2437
Mailing address
2 Darian CT Apt 1a
Pomona, NY 10970-3015
Phone (914) 523-2416
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
- Credentials
- Bachelor of Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1477236768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 DARIAN CT APT 1A",
"city": "POMONA",
"state": "NY",
"postal_code": "109703015",
"telephone_number": "914-523-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 PALMER AVE # 606",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105382437",
"telephone_number": "855-400-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "AMANDA",
"middle_name": "GABRIELLE",
"name_prefix": "Ms.",
"credential": "BA, MS.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Larchmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.