Organization Active NPI

Tabitha Gonzalez Licensed Mental Health Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Mount Kisco, NY
National Provider Identifier
1700499381
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TABITHA GONZALEZ LICENSED MENTAL HEALTH COUNSELING PLLC
Practice address
100 S Bedford Rd Ste 340321
Mount Kisco, NY 10549-3425
Phone
(646) 359-2887
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Tabitha Gonzalez, LMHCNPI 1114339439
Title
Owner
Phone
(646) 359-2887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

100 S Bedford Rd Ste 340321
Mount Kisco, NY 10549-3425

Mailing address

100 S Bedford Rd Ste 340321
Mount Kisco, NY 10549-3425
Phone (646) 359-2887

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SIMPLEPRACTICE Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1700499381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BEDFORD RD STE 340321",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493425",
            "telephone_number": "646-359-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BEDFORD RD STE 340321",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493425",
            "telephone_number": "646-359-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABITHA GONZALEZ LICENSED MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-359-2887",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SIMPLEPRACTICE",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 S Bedford Rd Ste 340321",
            "city": "Mount Kisco",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105493425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.