James L Gonzales, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1640 Issued in GA

Practice address

5435 Sugarloaf Pkwy
Suite 1103
Lawrenceville, GA 30043-7831

Phone

(770) 995-6026

NPI assigned

Aug 18, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871607705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437831",
            "telephone_number": "770-995-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437831",
            "telephone_number": "770-995-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00264939",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00817275A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "027535",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andres Eduardo Gomez Vargas, SA-C
• Andreina Gomez
• Esther Gomez
• Stephanie C Gomez, FNP-C
• Steven L Goninan, D.C.
• Raquel I. Gonzalez Roepke, FNP-C, M.S.N.
• Donna Jean Gonzalez, PHARM D
• Laura Maria Gonzalez
• Miriam C Gonzalez
• Good Life Counseling and Consulting

• Counseling Psychologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.