Individual provider Active NPI

Emilio Gonzalez, MA, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1699305128
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78123 Issued in TX
Practice address
11777 Katy Fwy Ste 350
Houston, TX 77079-1721
Phone
(713) 365-0700
Fax
(713) 827-1080
NPI assigned
Jan 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 78123 TX Primary

Addresses

Primary practice location

11777 Katy Fwy Ste 350
Houston, TX 77079-1721

Mailing address

11777 Katy Fwy Ste 350
Houston, TX 77079-1721
Phone (713) 365-0700

Other identifiers 1

IdentifierTypeStateIssuer
78123OtherTXTX STATE BOARD OF EXAMNERS OF PROFESSIONAL COUNSELORS

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
78123TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Mind and Body CurrentSince Sep 1, 2023 Accepting new patients
Renewing Hope Counseling, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

11777 Katy Fwy
Ste 350
Houston, TX 77079
Phone 7133650700409

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1699305128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791721",
            "telephone_number": "713-365-0700",
            "fax_number": "713-827-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791721",
            "telephone_number": "713-365-0700",
            "fax_number": "713-827-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EMILIO",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD OF EXAMNERS OF PROFESSIONAL COUNSELORS",
            "identifier": "78123",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.