Active NPI
Leo Gonzalez, LPC
- Mental Health Counselor
- Carrollton, TX
National Provider Identifier
1962086504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 84592
- Practice address
- 2225 Parker Rd
Carrollton, TX 75010-4711 - Phone
- (214) 325-6629
- NPI assigned
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84592 | TX | Primary |
Addresses
Primary practice location
2225 Parker Rd
Carrollton, TX 75010-4711
Mailing address
4001 Ross Ave Apt 450
Dallas, TX 75204-5278
Phone (214) 325-6629
Other practice location 1
4054 McKinney Ave Ste 102
Dallas, TX 75204-2050
Phone (214) 520-6308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84592 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Counseling Center Inc | Current | Accepting new patients |
Locations
4054 McKinney Ave
Ste 102
Dallas, TX 75204
Phone (214) 520-6308
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Dallas, TX
- NPI 1770510075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1962086504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 ROSS AVE APT 450",
"city": "DALLAS",
"state": "TX",
"postal_code": "752045278",
"telephone_number": "214-325-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 PARKER RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104711",
"telephone_number": "214-325-6629"
}
],
"practiceLocations": [
{
"address_1": "4054 McKinney Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752042050",
"country_code": "US",
"telephone_number": "214-520-6308",
"fax_number": "214-521-9172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LEO",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-10",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.