Active NPI
Jessenia Gonzalez, RBT
- Behavior Technician
- Naples, FL
National Provider Identifier
1538630371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-68024
- Practice address
- 90 Cypress Way E Ste 60
Naples, FL 34110-9275 - Phone
- (800) 217-9289
- NPI assigned
- Dec 5, 2018
- Last updated
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-68024 | FL | Primary |
Addresses
Primary practice location
90 Cypress Way E Ste 60
Naples, FL 34110-9275
Mailing address
2675 Horseshoe Dr S Ste 404
Naples, FL 34104-6155
Phone (800) 217-9289
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-68024 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtus Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Naples, FL
- NPI 1366064735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1538630371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 HORSESHOE DR S STE 404",
"city": "NAPLES",
"state": "FL",
"postal_code": "341046155",
"telephone_number": "800-217-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 CYPRESS WAY E STE 60",
"city": "NAPLES",
"state": "FL",
"postal_code": "341109275",
"telephone_number": "800-217-9289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JESSENIA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-68024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.