Roger Gonzales, LPC-ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

89142 Issued in TX

Practice address

138 Old San Antonio Rd Ste 503
Boerne, TX 78006-3492

Phone

(210) 596-9833

Fax

(830) 310-6313

NPI assigned

Mar 18, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1710746284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11619 WILD THICKET",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545005",
            "telephone_number": "806-282-9833",
            "fax_number": "830-310-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 OLD SAN ANTONIO RD STE 503",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063492",
            "telephone_number": "210-596-9833",
            "fax_number": "830-310-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ROGER",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Theresa Gleason, LPC, NCC, DCFC
• Ashley Wolodzko Gleaves, M.D.
• Brandon Jesse Goff, DO
• David Joel Gomillion, DDS
• Mallory Marie Gonyer, M.A., LPC, LBA, BCBA
• Angela Marie Gonzalez
• Ashley Gonzalez, LVN
• Chanthal Gonzalez, LVN
• Isabel Gonzalez
• Barry F Gooden, DDS PA

• Mental Health Counselor in Boerne, TX
• Providers in Boerne, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.