Nelitza Delisse Gonzalez, LMFT, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11643 Issued in NC

Practice address

1001 Reynolda Rd
Winston Salem, NC 27104-3245

Phone

(336) 705-4018

NPI assigned

Jul 27, 2015

Sex

Female

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

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/tcrossn-80dcacc1

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.

• Crossnore Communities for Children

  • Community/Behavioral Health Agency
  • Crossnore, NC
  • NPI 1144494402
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1700261237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 SIGNET DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012254",
            "telephone_number": "336-254-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043245",
            "telephone_number": "336-705-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 Healy Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031568",
            "country_code": "US",
            "telephone_number": "336-624-3944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NELITZA",
        "middle_name": "DELISSE",
        "credential": "LMFT, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1861",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie E Gonzales
• Monika Daniela Gonzalez Kroll, PA
• Doralis Gonzalez Pelegrin, NP
• Tristan Emil Gonzalez Sanz, M.D.
• Ingrid Gonzalez, M.D.
• Good Works Home Health, LLC
• Tiara Dantrell Good-Greene, PA-C
• Amy Lynn Good, CRNA
• Melanie B Good, CRNA
• David John Goode, MD

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.