Organization Active NPI

Laura Gonzales, M.a., L.P.C., N.C.C., P.L.L.C.

  • Mental Health Counselor
  • Peoria, AZ
National Provider Identifier
1740423607
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC13196 Issued in AZ
Legal business name
LAURA GONZALES, M.A., L.P.C., N.C.C., P.L.L.C.
Practice address
8715 W Union Hills Dr
Suite 105
Peoria, AZ 85382-3029
Phone
(602) 717-7213
Fax
(623) 566-2062
NPI assigned
Apr 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Ms. Laura Geneva Gonzales, MA, LPC, NCC, IMH-ENPI 1487972576
Title
Owner/Member
Phone
(602) 327-0834

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC13196 AZ Primary
Community/Behavioral Health Agency 251S00000X LPC13196 AZ

Addresses

Primary practice location

8715 W Union Hills Dr
Suite 105
Peoria, AZ 85382-3029

Mailing address

34108 N 26TH Ave
Phoenix, AZ 85085-5070
Phone (602) 717-7213

National Provider Directory

National Provider Directory

Locations

8715 W Union Hills Dr
Ste 105
Peoria, AZ 85382
Phone (602) 717-7213

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": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1740423607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34108 N 26TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855070",
            "telephone_number": "602-717-7213",
            "fax_number": "623-566-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 W UNION HILLS DR",
            "address_2": "SUITE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823029",
            "telephone_number": "602-717-7213",
            "fax_number": "623-566-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA GONZALES, M.A., L.P.C., N.C.C., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "GENEVA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "602-327-0834",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, NCC, IMH-E"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC13196",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC13196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.