Individual provider Active NPI

Mariaimee Gonzalez, PLPC

  • Professional Counselor
  • Maryland Heights, MO
National Provider Identifier
1952556441
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2008032355 Issued in MO
Practice address
909 Fee Fee Rd
Maryland Heights, MO 63043-3801
Phone
(314) 275-7600
Fax
(314) 275-8486
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2008032355 MO Primary

Addresses

Primary practice location

909 Fee Fee Rd
Maryland Heights, MO 63043-3801

Mailing address

909 Fee Fee Rd
Maryland Heights, MO 63043-3801
Phone (314) 275-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260331003166 WA Practitioner - Mental Health Counselor 2062997794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1728 W Marine View Dr
Suite 109
Everett, WA 98201-2094

4616 25TH Ave NE Apt
Suite 423
Seattle, WA 98105-4183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008032355MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Developmental Services of St. Louis, Inc. Past Accepting new patients

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1952556441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FEE FEE RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433801",
            "telephone_number": "314-275-7600",
            "fax_number": "314-275-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FEE FEE RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433801",
            "telephone_number": "314-275-7600",
            "fax_number": "314-275-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIAIMEE",
        "name_prefix": "Mrs.",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008032355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.