Individual provider Active NPI

Caroline Kay Gonzales, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1982138673
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77417 Issued in TX
Practice address
6502 Bandera Rd Ste 200E
San Antonio, TX 78238-1454
Phone
(210) 842-1777
Fax
(210) 579-7755
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 77417 TX
Mental Health Counselor 101YM0800X 77417 TX Primary

Addresses

Primary practice location

6502 Bandera Rd Ste 200E
San Antonio, TX 78238-1454

Mailing address

6502 Bandera Rd Ste 200E
San Antonio, TX 78238-1454
Phone (210) 842-1777

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

LicenseStateTypeSpecialty
77417TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zalesin Consulting Associates, LLC Mental Health CurrentSince Apr 17, 2020 Accepting new patients
Alamo Heights Counseling Inc. Counselor PastSince Feb 23, 2021 Accepting new patients

Locations

6502 Bandera Rd
Ste 200E
San Antonio, TX 78238
Phone (210) 640-7779

5805 Callaghan Rd
Ste 206
San Antonio, TX 78228
Phone (210) 842-1777

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1982138673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 200E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381454",
            "telephone_number": "210-842-1777",
            "fax_number": "210-579-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 200E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381454",
            "telephone_number": "210-842-1777",
            "fax_number": "210-579-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CAROLINE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77417",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; 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.