Individual provider Active NPI

Maria Cristela Gonzalez, LCSW

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1699083600
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51368 Issued in TX
Practice address
1101 Lago Vista St
San Marcos, TX 78666-9557
Phone
(512) 216-8629
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 51368 TX Primary

Addresses

Primary practice location

1101 Lago Vista St
San Marcos, TX 78666-9557

Mailing address

1101 Lago Vista St
San Marcos, TX 78666-9557
Phone (512) 216-8629

Other practice location 1

2810 Dacy Ln
Kyle, TX 78640-6322
Phone (512) 268-8900

Other identifiers 1

IdentifierTypeStateIssuer
51368OtherTXLCSW-S

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cris@calmalunacounseling.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
51368TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calma Luna Counseling CurrentSince Aug 27, 2023 Accepting new patients
Pediatric Surgical Subspecialists Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1699083600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LAGO VISTA ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786669557",
            "telephone_number": "512-216-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LAGO VISTA ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786669557",
            "telephone_number": "512-216-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Dacy Ln",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406322",
            "country_code": "US",
            "telephone_number": "512-268-8900",
            "fax_number": "512-268-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIA",
        "middle_name": "CRISTELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-S",
            "identifier": "51368",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cris@calmalunacounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1101 Lago Vista St",
            "city": "San Marcos",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786669557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.