Organization Active NPI

Gonzalez Counseling PC

  • Counselor
  • Spring Branch, TX
National Provider Identifier
1720459464
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
71566 Issued in TX
Legal business name
GONZALEZ COUNSELING PC
Practice address
18534 Forty Six Pkwy
Suite 4
Spring Branch, TX 78070-6876
Phone
(972) 979-7986
Fax
(866) 432-0711
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Brianna Leigh Gonzalez, LPCNPI 1265801906
Title
Owner
Phone
(972) 979-7986

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 71566 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 71566 TX
Mental Health Counselor 101YM0800X 71566 TX
Professional Counselor 101YP2500X 71566 TX
Marriage & Family Therapist 106H00000X 71566 TX
Community/Behavioral Health Agency 251S00000X 71566 TX

Addresses

Primary practice location

18534 Forty Six Pkwy
Suite 4
Spring Branch, TX 78070-6876

Mailing address

18534 Forty Six Pkwy
Suite 4
Spring Branch, TX 78070-6876
Phone (972) 979-7986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217002527 TX Part B Supplier - Clinic/Group Practice 2961939814 Receives reassigned benefits from 1 practitioner
Practice locations: Bulverde, TX

National Provider Directory

National Provider Directory

Locations

18534 Forty Six Pkwy
Ste 4
Spring Branch, TX 78070
Phone (972) 979-7986

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1720459464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18534 FORTY SIX PKWY",
            "address_2": "SUITE 4",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706876",
            "telephone_number": "972-979-7986",
            "fax_number": "866-432-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18534 FORTY SIX PKWY",
            "address_2": "SUITE 4",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706876",
            "telephone_number": "972-979-7986",
            "fax_number": "866-432-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-979-7986",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "71566",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "71566",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71566",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71566",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "71566",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "71566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.