Sandra L Gonzales, SAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0124031 Issued in NM

Practice address

1311 N Grant St Ste a
Silver City, NM 88061-5134

Phone

(575) 388-1447

Fax

(575) 388-1447

NPI assigned

Sep 20, 2006

Last updated

Jan 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Recovery Management Center, PC

  • Addiction (Substance Use Disorder) Counselor
  • Silver City, NM
  • NPI 1942534664
  Medicare reassignment NPD
• Recovery and Resiliency Services

  • Community/Behavioral Health Agency
  • Lordsburg, NM
  • NPI 1063083996

  Addiction (Substance Use Disorder)

  NPD
• The Recovery Management Center

  • Addiction (Substance Use Disorder) Counselor
  • Silver City, NM
  • NPI 1265933162
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1932207263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N GRANT ST STE A",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615134",
            "telephone_number": "575-388-1447",
            "fax_number": "575-388-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N GRANT ST STE A",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615134",
            "telephone_number": "575-388-1447",
            "fax_number": "575-388-1447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 W 13th St",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880615139",
            "country_code": "US",
            "telephone_number": "575-388-1447",
            "fax_number": "575-388-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "SANDRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "SAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0124031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18677037",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentry Gilpin
• Jay Howard Glickman, LPCC
• Magali Galilea Gomez, MSW
• Marissa Alisha Gomez
• Sachiko Gomi
• Tracy L Gonzales
• Frida Gonzalez, LMHC
• Julie Barbara Good, LMHC
• Douglas D Gorthy, DDS
• Kathy Gorum, LMT

• Addiction (Substance Use Disorder) Counselor in Silver City, NM
• Providers in Silver City, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.