Marta Gonzales

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

2600068 Issued in IL

Practice address

101 Chittyville Rd
Herrin, IL 62948-3552

Phone

(618) 498-0190

Fax

(618) 417-6049

NPI assigned

Nov 12, 2025

Last updated

Nov 12, 2025By 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 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Koen Counseling and Wellness Center

  • Mental Health Counselor
  • Herrin, IL
  • NPI 1952050460
  NPD

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1982564134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S PLOVER DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHITTYVILLE RD",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483552",
            "telephone_number": "618-498-0190",
            "fax_number": "618-417-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2600068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Gauthier, PA-C
• Chanavia Marquetta Givens
• Terrence Glennon, MD
• Macy Lane Goins, NP
• Robert J Golz, MD
• Mary Frances Graham, PTA
• Skylyn Elise Gullo
• Stephanie R Gustave, LPC, AMFT
• Zachary R Gustavison, PA-C
• Lori M Guyton, M.D.

• School Social Worker in Herrin, IL
• Providers in Herrin, IL by specialty
• School Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.