Elissa Michelle Gonzalez-Ogonowski

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC017068 Issued in GA

Practice address

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725

Phone

(912) 825-8488

Fax

(912) 341-6794

NPI assigned

Mar 14, 2013

Last updated

Jul 17, 2026By 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 2

Addresses

Other names 1

• Elissa Bradford Former name

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": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1528309580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SCHOOL HOUSE CREEK DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581805",
            "telephone_number": "912-409-7561",
            "fax_number": "912-673-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-825-8488",
            "fax_number": "912-341-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-OGONOWSKI",
        "first_name": "ELISSA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC017068",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC017068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "BRADFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michala Gibson
• Caitlin Elizabeth Glaze
• Jessica L Godbey, APRN
• Susan Lynn Goldsmith, MSN, FNP-BC
• Jessica Goldstein, RBT
• Grace Family Healthcare
• Leticia T Graham, MSH, MPH, MSPC, LAPC
• Jenna C Graziano, OTR/L
• Melissa Green
• Stephanie Nicole Green, FNP-C

• Mental Health Counselor in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.