Jennifer Lorraine Gonzalez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

70246 Issued in TX

Practice address

4606 FM 1960 Rd W Ste 600
Houston, TX 77069-4613

Phone

(361) 244-8648

Fax

(281) 302-4148

NPI assigned

Jul 13, 2015

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

Other names 1

• Jennifer Lorraine Mata Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Psykhe Incorporated, PLLC

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1225684814

  Mental Health

  NPD

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1932583697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N COUNTY ROAD 307",
            "city": "ORANGE GROVE",
            "state": "TX",
            "postal_code": "783729387",
            "telephone_number": "361-244-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694613",
            "telephone_number": "361-244-8648",
            "fax_number": "281-302-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JENNIFER",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MATA",
            "middle_name": "LORRAINE",
            "credential": "LPC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ishamar Gonzalez
• Isiah Gonzalez, MD
• Israel Gonzalez, CSFA
• Jane Chinedu Gonzalez
• Jean W Gonzalez, CPO
• Jessica Gonzalez
• Jessica Gonzalez, LMFT
• Jessica Guadalupe Gonzalez, MD
• Jesus E. Gonzalez, D.C.
• Jewel Nicole Gonzalez

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.