Active NPI
Maria Z Gonzalez, SLP
- Speech-Language Pathologist
- Mathis, TX
National Provider Identifier
1609502848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14018
- Practice address
- 410 E San Patricio Ave
Mathis, TX 78368-2352 - Phone
- (361) 547-4123
- NPI assigned
- Jul 29, 2022
- Last updated
- Jul 29, 2022
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14018 | TX | Primary |
Addresses
Primary practice location
410 E San Patricio Ave
Mathis, TX 78368-2352
Mailing address
410 E San Patricio Ave
Mathis, TX 78368-2352
Phone (361) 547-4123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108329703 | Medicaid | TX |
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 |
|---|---|---|---|
| 14018 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1609502848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E SAN PATRICIO AVE",
"city": "MATHIS",
"state": "TX",
"postal_code": "783682352",
"telephone_number": "361-547-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E SAN PATRICIO AVE",
"city": "MATHIS",
"state": "TX",
"postal_code": "783682352",
"telephone_number": "361-547-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARIA",
"middle_name": "Z",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "14018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108329703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mathis, TX
- Petra De Leon, FNP-C
- Dhanvis Health Care LLC (Jay's Pharmacy Mathis)
- Donna Karen Groff PLLC
- Christine Ann Dunham, LCMHC, LCPC, LPC
- Enryn Medcial Transports
- Marie Elaine Hall, PA-C
- Hamilton County Hospital District (Palma Real)
- Hartman Community Clinic PA
- Jamie Hartnett, RN
- William Angustus Henderson, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.