Maria F Gonzalez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10002301 Issued in MA

Practice address

7896 NW 110TH Dr # de
Parkland, FL 33076-4721

Phone

(954) 600-1709

NPI assigned

Jun 5, 2018

Reactivated

Aug 29, 2024

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Evolving Minds Together LLC

  • Community/Behavioral Health Agency
  • Parkland, FL
  • NPI 1851744692
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1578055539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7896 NW 110TH DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7896 NW 110TH DR # DE",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764721",
            "telephone_number": "954-600-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIA",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "deactivation_date": "2024-06-29",
        "reactivation_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10002301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Leibovitch, PHD, LLC
• Michelle Stacey Gluck, P.T.
• Stanley Bruce Goldman, PHARMACIST
• Jennifer Gonzalez Llanes
• Jaqueline Gonzalez, LMFT
• Janet Gordon-Slakoff, LCSW
• Clelia Gosn, MS
• Richard Jason Gottlieb, OTR/L
• George Gounakis, D.M.D
• Sasha Grant

• Mental Health Counselor in Parkland, FL
• Providers in Parkland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.