Active NPI
Alexia Gonzalez, M.A, LPC
- Mental Health Counselor
- Bryan, TX
National Provider Identifier
1811523814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88892
- Practice address
- 207 Sulphur Springs Rd
Bryan, TX 77801-3134 - Phone
- (281) 846-4454
- NPI assigned
- Mar 21, 2020
- Last updated
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88892 | TX | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
207 Sulphur Springs Rd
Bryan, TX 77801-3134
Mailing address
207 Sulphur Springs Rd
Bryan, TX 77801-3134
Phone (281) 846-4454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373188702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88892 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1811523814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 SULPHUR SPRINGS RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778013134",
"telephone_number": "281-846-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 SULPHUR SPRINGS RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778013134",
"telephone_number": "281-846-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ALEXIA",
"credential": "M.A, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-21",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "88892",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373188702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.