Active NPI
Mariel Jeny Gonzalez, LPC
- Professional Counselor
- Harlingen, TX
National Provider Identifier
1992419519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85900
- Practice address
- 1901 N Ed Carey Dr Ste 200
Harlingen, TX 78550-8343 - Phone
- (956) 230-1210
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 85900 | TX | Primary |
Addresses
Primary practice location
1901 N Ed Carey Dr Ste 200
Harlingen, TX 78550-8343
Mailing address
473 Resaca Shores Blvd
San Benito, TX 78586-5731
Phone (956) 241-1353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472440868 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgonzalez@resiliencypsych.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85900 | TX | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1992419519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 RESACA SHORES BLVD",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785865731",
"telephone_number": "956-241-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N ED CAREY DR STE 200",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508343",
"telephone_number": "956-230-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARIEL",
"middle_name": "JENY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "472440868",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgonzalez@resiliencypsych.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1901 N Ed Carey Dr Ste 200",
"city": "Harlingen",
"state": "TX",
"country_code": "US",
"postal_code": "785508343",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.