Individual provider Active NPI

Jennifer Gonzalez, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1609235548
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70995 Issued in TX
Practice address
4606 Centerview Ste 266
San Antonio, TX 78228-1204
Phone
(726) 201-5284
NPI assigned
Feb 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 70995 TX Primary

Addresses

Primary practice location

4606 Centerview Ste 266
San Antonio, TX 78228-1204

Mailing address

201 Ulshaw St
El Paso, TX 79928-5905
Phone (151) 274-5761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422002395 TX Practitioner - Mental Health Counselor 8729427869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70995TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavors Health Services Board Professional CurrentSince Jul 1, 2025 Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients
Gramercy Specialty Clinic PLLC Professional Past Accepting new patients
Gramercy Specialty Clinic Professional Past Accepting new patients

Locations

2211 S Interstate 35
Ste 305
Austin, TX 78741
Phone (210) 431-6466

7500 Viscount Blvd
El Paso, TX 79925
Phone (915) 772-4066

6333 De Zavala Rd
Ste A241
San Antonio, TX 78249
Phone (210) 431-6466

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1609235548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ULSHAW ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285905",
            "telephone_number": "151-274-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 CENTERVIEW STE 266",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281204",
            "telephone_number": "726-201-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.