Individual provider Active NPI

Frances Hope Gonzales, CATC. II

  • Addiction (Substance Use Disorder) Counselor
  • Modesto, CA
National Provider Identifier
1609384817
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2114412 Issued in CA
Practice address
190 E Hackett Rd
Modesto, CA 95358-9001
Phone
(209) 525-7218
Fax
(209) 558-1082
NPI assigned
Jan 22, 2018
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2114412 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1252560517 CA
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

190 E Hackett Rd
Modesto, CA 95358-9001

Mailing address

190 E Hackett Rd
Modesto, CA 95358-9001
Phone (209) 525-7218

Other practice location 1

800 Scenic Dr Bldg G
Modesto, CA 95350-6131
Phone (209) 525-2085

Other identifiers 1

IdentifierTypeStateIssuer
1104372176MedicaidCA

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

LicenseStateTypeSpecialty
2114412CAMDAddiction (Substance Use Disorder) Counselor
R1252560517CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Recovery Resources 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.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1609384817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E HACKETT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589001",
            "telephone_number": "209-525-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E HACKETT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589001",
            "telephone_number": "209-525-7218",
            "fax_number": "209-558-1082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Scenic Dr Bldg G",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506131",
            "country_code": "US",
            "telephone_number": "209-525-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "FRANCES",
        "middle_name": "HOPE",
        "credential": "CATC. II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2114412",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1252560517",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104372176",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.