Individual provider Active NPI

Alberto Fernandez Gonzalez, MS

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1922787605
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0020406 Issued in CO
Practice address
720 S Colorado Blvd PH North
Denver, CO 80246-1904
Phone
(720) 295-1308
NPI assigned
Jul 11, 2023
Reactivated
Jul 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0020406 CO Primary

Addresses

Primary practice location

720 S Colorado Blvd PH North
Denver, CO 80246-1904

Mailing address

209 Sullivan PL Apt B3
Brooklyn, NY 11225-2701
Phone (720) 295-1308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20250228000716 CO Practitioner - Mental Health Counselor 4587025283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0020949COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in-Home Counseling CurrentSince May 1, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Feb 26, 2025 Accepting new patients

Locations

1560 Broadway
Ste 1600
Denver, CO 80202
Phone (480) 493-0900

1560 Broadway
Denver, CO 80202
Phone (623) 363-6103

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1922787605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SULLIVAN PL APT B3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252701",
            "telephone_number": "720-295-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD PH NORTH",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "720-295-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ GONZALEZ",
        "first_name": "ALBERTO",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "deactivation_date": "2023-11-09",
        "reactivation_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0020406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.