Individual provider Active NPI

Sarah Elizabeth Gonzales, LPC, NCC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1497068050
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62887 Issued in TX
Practice address
314 E Highland Mall Blvd Ste 301
Austin, TX 78752-3731
Phone
(512) 444-9922
NPI assigned
Jul 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62887 TX Primary

Addresses

Primary practice location

314 E Highland Mall Blvd Ste 301
Austin, TX 78752-3731

Mailing address

1704 Nelms Dr Apt 622
Austin, TX 78744-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62887TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Waterloo Counseling Center, Inc. PastSince Dec 9, 2011 Accepting new patients
Texas Health Action PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1497068050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 NELMS DR APT 622",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787444239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E HIGHLAND MALL BLVD STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523731",
            "telephone_number": "512-444-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.