Mindi Gonzales, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84638 Issued in TX

Practice address

140 Heimer Rd Ste 400
San Antonio, TX 78232-5032

Phone

(210) 601-7104

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desta Therapy, LLCGroup PAC ID 8224566708, 9 clinicians

Riverside Counseling Center, PLLCGroup PAC ID 9436524311, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desta Therapy, LLC

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1891529673
  Medicare reassignment Care Compare group NPD
• Riverside Counseling Center, PLLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • New Braunfels, TX
  • NPI 1699409201
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1902629025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 HENDERSON PASS APT 1707",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323283",
            "telephone_number": "210-601-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HEIMER RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325032",
            "telephone_number": "210-601-7104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16100 Henderson Pass Apt 1707",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782323283",
            "country_code": "US",
            "telephone_number": "210-601-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MINDI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Cheth Gonzales, LCSW
• Melissa Gamez Gonzales
• Mia Rose Gonzales, LPC-A
• Michael R Gonzales, MD
• Mikaela Angelique Gonzales
• Nancy Lee Gonzales, PMHNP
• Natalie R. Gonzales, MA, LPC
• Natasha Gonzales, DNP
• Nicholas Gonzales
• Noah Gonzales, DO

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.