Nydia Iris Gonzalez, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180010816 Issued in IL

Practice address

1116 N Kedzie Ave
Chicago, IL 60651-4152

Phone

(773) 772-8009

Fax

(773) 292-5490

NPI assigned

Sep 3, 2019

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

State licenses

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1518515519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 W GRAND AVE APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072346",
            "telephone_number": "773-593-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514152",
            "telephone_number": "773-772-8009",
            "fax_number": "773-292-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NYDIA",
        "middle_name": "IRIS",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Gonzalez
• Miguel Angel Gonzalez, O.D.
• Monica Gonzalez, APN
• Nathalia Gonzalez
• Noel Gonzalez, LCSW
• Olga M Gonzalez, DMD
• Olivia Ann Gonzalez
• Paola Beatriz Gonzalez, DMD
• Pedro Anthony Gonzalez Jr., PHARMD
• Rito Gonzalez, D.N.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.