Jodi C Gonzales, ATR, NCC

Primary specialty

Art TherapistTaxonomy code 221700000X

Practice address

5210 E Pima St Ste 200
Tucson, AZ 85712-3678

Phone

(815) 787-2587

NPI assigned

Dec 5, 2013

Last updated

Dec 20, 2016By 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 1

Addresses

Other names 1

• Jodi Gonzales Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1598196388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123678",
            "telephone_number": "815-787-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123678",
            "telephone_number": "815-787-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JODI",
        "middle_name": "C",
        "credential": "ATR, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "GONZALES",
            "credential": "LPCIT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annika Gonzales, OT
• Carlos R. Gonzales, MD
• Christopher Joseph Gonzales, M.D.
• Cristina L Gonzales, RN
• Gilbert Rene Gonzales, MD
• Lynda Gonzales, LMT
• Samantha Gonzales
• Sara Maria Gonzales, MSN, RN
• Sharon H Gonzales, M.A.
• Stacey Mitchell Gonzales, LAC

• Art Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Art Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.