Jody Christopher Gonzales, CSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

419 S 2ND St
Tucumcari, NM 88401-2859

Phone

(575) 461-9907

Fax

(575) 403-9867

NPI assigned

Jul 7, 2021

Sex

Male

Sole proprietor

No

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.

• Greater Santa Rosa Council on Alcoholism

  • Community/Behavioral Health Agency
  • Santa Rosa, NM
  • NPI 1932313400
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2021.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1699346916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884010392",
            "telephone_number": "575-461-9907",
            "fax_number": "575-403-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S 2ND ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012859",
            "telephone_number": "575-461-9907",
            "fax_number": "575-403-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JODY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Garza
• Sabrina Gaskill, LCSW
• Cruz Antonio Gomez
• Robert Gomez
• Shirley Gomez
• Joe Gonzales, BMS
• Linda K Gonzalez, LIFE SKILLS SPECIALI
• Arissa Rain Griego
• Tevin Griffin
• Tina Marie Guerrero, DC

• All providers in Tucumcari, NM
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.