Roxanna Gonzalez, MA LISAC LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC1164 Issued in AZ

Practice address

802 E 46TH St
Tucson, AZ 85713-5006

Phone

(520) 622-3553

Fax

(520) 792-5724

NPI assigned

Oct 25, 2010

Last updated

May 28, 2015By the provider in NPPES

Sex

Female

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roxanna.gonzalez.p1@direct.codachrw.nextgenshare.com
• Direct secure messaging: roxanna.gonzalez@mmcodachrw.contexture.medalliesmail.com

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.

• Codac Health Recovery and Wellness

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1033156567
  NPD

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1508166521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E PALMDALE ST STE 110130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141857",
            "telephone_number": "520-792-5704",
            "fax_number": "520-792-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E 46TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135006",
            "telephone_number": "520-622-3553",
            "fax_number": "520-792-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROXANNA",
        "name_prefix": "Ms.",
        "credential": "MA LISAC LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC1164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahdevi C Gonzalez, BA
• Michelle A Gonzalez, ATC
• Nathan Gonzalez, CRNA
• Nery Gonzalez
• Roseanna Gonzalez
• Sarah Gonzalez, PTA
• Venessa Marie Gonzalez
• Veronica Ann Gonzalez, LMT
• Victor Jose Gonzalez, M.D.
• Xochitl Berenice Gonzalez

• Addiction (Substance Use Disorder) Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.