Active NPI
Jami M Gonzales, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN.0996048-NP
- Practice address
- 5350 Tomah Dr Ste 3600
Colorado Springs, CO 80918-6991 - Phone
- (970) 310-3406
- NPI assigned
- May 23, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RXN.0105161-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0996048-NP | CO | Primary |
| Registered Nurse | 163W00000X | RN.1671353 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-RXN.0000757-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0001638-C-NP | CO |
Addresses
Primary practice location
5350 Tomah Dr Ste 3600
Colorado Springs, CO 80918-6991
Mailing address
1924 S Hancock Ave
Colorado Springs, CO 80905-2811
Phone (228) 382-4283
Other practice location 1
115 S Parkside Dr
Colorado Springs, CO 80910-3130
Phone (719) 314-4307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5350 Tomah Dr
Suite 3600
Colorado Springs, CO 80918-6991
Phone (970) 310-3406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1671353 | CO | MD | Registered Nurse |
| C-RXN.0000757-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| RXN.0105161-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Centered Counseling, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Heart Centered Counseling, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Heart Centered Counseling, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Charles J. McGraw MD, LTD | Current | Accepting new patients |
Locations
1330 Inverness Dr
Ste 400
Colorado Springs, CO 80910
Phone (412) 996-8194
5350 Tomah Dr
Ste 3600
Colorado Springs, CO 80918
Phone (719) 201-4245
1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281
600 Julian Ln
Ste 640
Arden, NC 28704
Phone (828) 552-3504
Interoperability endpoints
- lifestancehealth.jamigonzales@146010.advancedmd-direct.com
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.
-
dba LifeStance Health
- Mental Health Counselor
- Fort Collins, CO
- NPI 1588038681
Psychiatric/Mental Health
-
dba LifeStance Health
- Mental Health Counselor
- Westminster, CO
- NPI 1225635188
Psychiatric/Mental Health
-
dba LifeStance Health
- Mental Health Counselor
- Colorado Springs, CO
- NPI 1558158584
Psychiatric/Mental Health
-
- Family Medicine Physician
- Arden, NC
- NPI 1528264231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1629635719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 S HANCOCK AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809052811",
"telephone_number": "228-382-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 TOMAH DR STE 3600",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186991",
"telephone_number": "970-310-3406"
}
],
"practiceLocations": [
{
"address_1": "115 S Parkside Dr",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809103130",
"country_code": "US",
"telephone_number": "719-314-4307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "JAMI",
"middle_name": "M",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2023-01-27",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "RXN.0105161-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0996048-NP",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.1671353",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-RXN.0000757-C-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN.0001638-C-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.