George Gonzalez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0017619 Issued in CO

Practice address

5520 Escapardo Way
Colorado Springs, CO 80917-3336

Phone

(305) 710-8404

NPI assigned

Jan 11, 2022

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

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1871244822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 ESCAPARDO WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173336",
            "telephone_number": "305-710-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 ESCAPARDO WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173336",
            "telephone_number": "305-710-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GEORGE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Gonzalez-Pryor
• Akaisha Gonzalez
• Alina Gonzalez
• Amada Gonzalez
• Evelyn Gonzalez
• Irma Luz Gonzalez, MA, LPC
• Jacqueline Gonzalez
• Jaime Eduardo Gonzalez, M.D.
• Jannette Gonzalez, LPC
• Leo Gonzalez

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.