Bernabe Gonzalez-Crespo, LMHC, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12085 Issued in FL

Practice address

107 Medical Center Ave
Sebring, FL 33870-5423

Phone

(863) 382-9280

NPI assigned

Jan 1, 2011

Last updated

Dec 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1750685947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 N LACONA RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338258555",
            "telephone_number": "863-703-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705423",
            "telephone_number": "863-382-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-CRESPO",
        "first_name": "BERNABE",
        "name_prefix": "Mr.",
        "credential": "LMHC, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-01",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013683600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Years Adult Daycare Inc
• Silvana Estella Gomez Paez, MASSAGE THERAPIST
• Daniella Sophia Goncalves
• Luiset Gonzalez Andujar, CRNA
• Jorge F Gonzalez Jirau, MD
• Christian Gonzalez-Torres, MD
• Celine Gonzalez
• Jacqueline Gonzalez, DMD
• Goodlife Healthcare, LLC
• Greater Florida Adult Care

• Mental Health Counselor in Sebring, FL
• Providers in Sebring, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.