Raul K Gonzalez, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH0200211 Issued in NM

Practice address

11920 Dahlia Ave SE
Albuquerque, NM 87123-2470

Phone

(269) 325-7275

NPI assigned

Jul 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Connections Counseling LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1922612951
  NPD Authorized official

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1710328323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 DAHLIA AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232470",
            "telephone_number": "269-325-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 DAHLIA AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232470",
            "telephone_number": "269-325-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RAUL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2024-03-23",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0200211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37357841",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Estela Gonzalez, CNP
• Maya Esperanza Gonzalez
• Nicholas Anthony Gonzalez, M.D.
• Nicolasa Gonzalez
• Nora Gonzalez
• Rene Gonzalez, MD
• Sandraluz Gonzalez, RDH
• Selene Gonzalez
• Sophia Gonzalez
• Steven Gonzalez, CPSW

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.