MRS. LISA MARIE GONZALEZ (NPI# 1073681102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073681102 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE GONZALEZ |
| Credential | MSW |
| Practice Address |
290 I O O F Ave Gilroy CA 95020-5204 |
| Practice Telephone | 4088462134 |
| Practice Fax Number | 4088462419 |
| Mailing Telephone | 4088462134 |
| Mailing Fax Number | 4088462419 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UNICARE ID | 4623 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083254205 | Lisa Ann Gonzalez | Anesthesiology | 3633 Emma Rd, Vista, CA 92084-6657 | 2020-01-15 |
| 1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
| 1972158897 | Lisa Marie Gonzalez | Behavioral Analyst | 3815 Europa Ln, Bakersfield, CA 93312-6511 | 2019-08-07 |
| 1922578046 | Lisa Stevens Gonzalez | Nurse Practitioner | 250 Willow Winds Pkwy, Saint Johns, FL 32259-7266 | 2018-12-01 |
| 1336507425 | Lisa Gonzalez | Behavioral Analyst | 28 Mockingbird Dr, Exeter, RI 02822-2206 | 2016-02-03 |
| 1598155319 | Lisa Marie Gonzalez | Nurse Practitioner | 5158 Roma St, Ave Maria, FL 34142-5052 | 2015-02-01 |
| 1275934341 | Lisa Alexis Gonzalez | Speech-Language Pathologist | 13155 Sw 134th St Ste 222, Miami, FL 33186-4489 | 2014-09-09 |
| 1770726655 | Lisa Gonzalez | Massage Therapist | 5801 Argerian Dr Ste 101, Wesley Chapel, FL 33545-4145 | 2009-04-08 |
| 1326535881 | Lisa I Gonzalez | Physical Therapist | 25018 Oakhurst Dr, Spring, TX 77386-2722 | 2018-04-19 |
| 1093210650 | Lisa A Gonzalez | Social Worker | 77 E Merrimack St, Lowell, MA 01852-1251 | 2018-03-27 |
| Street Address |
290 I O O F AVE |
| City | GILROY |
| State | CA |
| Zip Code | 95020-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902976962 | Jennifer Debutts | Social Worker | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2006-11-08 |
| 1548804404 | Leon Ransom | Case Manager/Care Coordinator | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2019-11-04 |
| 1346896057 | Alma L Angeles | Marriage & Family Therapist | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2019-08-18 |
| 1790161339 | Ruth Downey | Marriage & Family Therapist | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2015-08-05 |
| 1184000200 | Nena Inman | Case Manager/Care Coordinator | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2015-07-31 |
| 1558750844 | Melody Collings | Case Manager/Care Coordinator | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2015-01-09 |
| 1619378155 | Aimee Wright | Social Worker | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2014-09-15 |
| 1134535479 | Annie Cadieux Hoover | Marriage & Family Therapist | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2014-07-08 |
| 1124434741 | Carlos Velasco | Case Manager/Care Coordinator | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2014-07-02 |
| 1861817983 | Laura Hernandez | Case Manager/Care Coordinator | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2014-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1154829042 | Justin Wirth | Counselor | Rebekah Childrens Services, 290 Ioof Ave, Gilroy, CA 95020 | 2018-01-25 |
| 1235658881 | Amethyst Kabrina Aguilar | Counselor | 9015 Murray Avenue, Suite 100, Gilroy, CA 95020 | 2017-09-14 |
| 1699290866 | Roman Angel Marquez | Counselor | 9015 Murray Ave., Suite 100, Gilroy, CA 95020 | 2017-08-09 |
| 1871028860 | Keila Landaverde Rojas | Counselor | 6341 Blackberry Ct, Gilroy, CA 95020-3423 | 2017-04-27 |
| 1215383989 | Amanda Poso | Counselor | 590 Eden St, Gilroy, CA 95020-7249 | 2016-05-11 |
| 1467811455 | Christiana Kelechi Eje | Counselor | 290 I00f Ave, Gilroy, CA 95020 | 2016-02-18 |
| 1700252673 | Mark Mariscal | Counselor | Rebekah Children's Services 290 Ioof Ave, Gilroy, CA 95020-4449 | 2015-08-14 |
| 1982088324 | Mike Gonzalez | Counselor | 7270 Alexander St, Gilroy, CA 95020-6907 | 2015-07-15 |
| Find all providers in GILROY | ||||
Please comment or provide details below to improve the information on MRS. LISA MARIE GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.