Individual provider Active NPI

Paloma Islas Gonzalez, MSW

  • Counselor
  • New York, NY
National Provider Identifier
1508320110
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
33 W 60TH St FL 6
New York, NY 10023-7905
Phone
(646) 799-0016
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

33 W 60TH St FL 6
New York, NY 10023-7905

Mailing address

2825 3Rd Ave Ste 402
Bronx, NY 10455-4073
Phone (718) 520-8000

Other practice location 1

80 Commercial St
Holyoke, MA 01040-4704
Phone (413) 846-0445

Other identifiers 10

IdentifierTypeStateIssuer
1134107113OtherMAMBHP
1134107113OtherMABEACON
1134107113OtherMANHP
12529OtherMAHNE
71756OtherMATUFTS
042622756OtherMACCA
1134107113OtherMAFALLON
1134107113MedicaidMA
997303OtherMANETWORK HEALTH
Y10086OtherMAMEDICARE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athenapsych LLC CurrentSince Feb 19, 2023 Accepting new patients
Athenapsych LLC CurrentSince Jul 13, 2025 Accepting new patients
Gandara Mental Health Center Counselor Past Accepting new patients

Locations

2825 3rd Ave
Ste 402
Bronx, NY 10455
Phone (718) 360-0555

33 W 60th St
Fl 6
New York, NY 10023
Phone (212) 227-6100

Organizations & group practices 3

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1508320110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE STE 402",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554073",
            "telephone_number": "718-520-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 60TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237905",
            "telephone_number": "646-799-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010404704",
            "country_code": "US",
            "telephone_number": "413-846-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLAS GONZALEZ",
        "first_name": "PALOMA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNE",
            "identifier": "12529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "71756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCA",
            "identifier": "042622756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "997303",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y10086",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.