Active NPI
Barbara J Gonzalez, QMHP
- Mental Health Counselor
- Warrenton, OR
National Provider Identifier
1699154377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 65 N Highway 101 Ste 204
Warrenton, OR 97146 - Phone
- (503) 325-0241
- Fax
- (503) 861-2043
- NPI assigned
- May 27, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | Primary |
Addresses
Primary practice location
65 N Highway 101 Ste 204
Warrenton, OR 97146
Mailing address
11695 SW Teal Blvd Apt B
Beaverton, OR 97007-8081
Phone (503) 717-3231
Other practice location 1
620 NE 2nd St
Gresham, OR 97030-7514
Phone (503) 224-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500690706 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1699154377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11695 SW TEAL BLVD APT B",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970078081",
"telephone_number": "503-717-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N HIGHWAY 101 STE 204",
"city": "WARRENTON",
"state": "OR",
"postal_code": "97146",
"telephone_number": "503-325-0241",
"fax_number": "503-861-2043"
}
],
"practiceLocations": [
{
"address_1": "620 NE 2nd St",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970307514",
"country_code": "US",
"telephone_number": "503-224-1044",
"fax_number": "503-621-2235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "BARBARA",
"middle_name": "J",
"credential": "QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500690706",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.