Leroy Gonzales, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64543 Issued in TX

Practice address

102 E Alamo St
Suite 200 B
Brenham, TX 77833-3792

Phone

(979) 830-8800

Fax

(979) 830-8800

NPI assigned

Nov 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lone Star Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Brenham, TX
  • NPI 1548547177
  NPD (past) Authorized official

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1669759551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 CARNATION LN",
            "city": "BLEIBLERVILLE",
            "state": "TX",
            "postal_code": "789315005",
            "telephone_number": "281-450-8786",
            "fax_number": "281-450-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E ALAMO ST",
            "address_2": "SUITE 200 B",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333792",
            "telephone_number": "979-830-8800",
            "fax_number": "979-830-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "64543",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gazebo Terrace Skilled Care and Rehabilitation, LLC
• Gentletouch Healthcare, Inc.
• Melissa L. Gerke, D.D.S.
• Tammy Goebel, PT
• Jennifer Goforth, COTA
• Aaron E Gonzalez, HIS
• David Edwardo Gonzalez
• Rachel Gordon
• Abram Bryant Grable
• Christopher Gray, M.D.

• Professional Counselor in Brenham, TX
• Providers in Brenham, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.