Organization Active NPI

Marian Gonzales Counseling LLC

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1649913815
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MARIAN GONZALES COUNSELING LLC
Practice address
3327 Gull Harbor Rd NE
Olympia, WA 98506-2869
Phone
(136) 046-4681
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Ms. Marian A Gonzales, MA LMHCNPI 1316475486
Title
Counselor
Phone
(360) 789-5102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3327 Gull Harbor Rd NE
Olympia, WA 98506-2869

Mailing address

3327 Gull Harbor Rd NE
Olympia, WA 98506-2869
Phone (136) 046-4681

Other identifiers 1

IdentifierTypeStateIssuer
LH60026373OtherWAWASHINGTON STATE COUNSELING LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL 360-665-7129 Direct
CONNECT URL 360-665-7129 Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1649913815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 GULL HARBOR RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985062869",
            "telephone_number": "136-046-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 GULL HARBOR RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985062869",
            "telephone_number": "136-046-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN GONZALES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "360-789-5102",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE COUNSELING LICENSE",
            "identifier": "LH60026373",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "360-665-7129",
            "affiliation": "N",
            "endpointDescription": "Spruce confidential phone line",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "confidential phone messaging",
            "address_1": "6005 Tyee Dr SW",
            "city": "Tumwater",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985127356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "360-665-7129",
            "affiliation": "N",
            "endpointDescription": "Spruce confidential phone line",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mgonzales@esd113.org",
            "address_1": "6005 Tyee Dr SW",
            "city": "Tumwater",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985127356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.