MIGUEL GONZALEZ (NPI# 1164904124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164904124 |
Entity Type | Individual |
Full Name | MIGUEL GONZALEZ |
Credential | MS,OBLPCT LPC INTERN |
Practice Address |
4890 32nd Ave Se Salem OR 97317-9350 |
Mailing Address |
Po Box 946 Philomath OR 97370-0946 |
Practice Telephone | 5035885647 |
Mailing Telephone | 5035629505 |
Enumeration Date | 2018-09-05 |
Last Update Date | 2018-09-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427306067 | Miguel Gonzalez | Physician Assistant | 126 E Zoranne Dr, Farmingdale, NY 11735-2894 | 2012-08-28 |
1841574597 | Miguel H Gonzalez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 44112 Riverpoint Dr, Leesburg, VA 20176-8206 | 2011-09-29 |
1134366792 | Miguel A. Gonzalez | Marriage & Family Therapist | 1310 Maximillian St, Deltona, FL 32725-6502 | 2009-01-19 |
1659498913 | Miguel Angel Gonzalez | Psychologist | 1453 N. Main St., Suite F, San Luis, AZ 85349 | 2007-03-23 |
1235253550 | Miguel Angel Gonzalez | Optometrist | 1254 S Canal St, Chicago, IL 60607-5213 | 2007-03-19 |
1376679746 | Miguel Rafael Gonzalez | Psychologist | 88 Carr 174, Bayamon, PR 00956-3055 | 2007-02-27 |
1134200272 | Miguel A. C. Gonzalez | Psychiatry & Neurology | 890 Eastlake Pkwy Ste 305, Chula Vista, CA 91914-4522 | 2006-10-17 |
1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
1376525352 | Miguel A Gonzalez | Internal Medicine | 9030 W Sahara Ave # 260, Las Vegas, NV 89117-5744 | 2005-11-16 |
1154323640 | Miguel Angel Gonzalez | Obstetrics & Gynecology | 401 Se 16th St, Ft Lauderdale, FL 33316-2529 | 2005-08-15 |
Street Address |
4890 32ND AVE SE |
City | SALEM |
State | OR |
Zip Code | 97317-9350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
1205466018 | Jake Gongora | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2020-01-21 |
1114483773 | Michelle J Zamarron | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2019-02-19 |
1679051692 | Kylie Tamiko Gumban | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-08-01 |
1003392515 | Alan Keith Gustafson | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-17 |
1679059182 | Nancy Diane Gustafson | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-17 |
1639665508 | Jaremy Calderon | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-03 |
1699267542 | Alyssa Hope Rice | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-06-05 |
1437641388 | Ellen Reece | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-06-05 |
1548750029 | Mariah Michaela Miller | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-05-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
1689086530 | Ruben Chekhov | Dental Hygienist | 4932 Turquoise Ave Se, Salem, OR 97317-4109 | 2014-05-27 |
1285636464 | Marion County Fire District No 1 | Ambulance | 300 Cordon Rd Ne, Salem, OR 97317-5203 | 2005-06-01 |
Find all providers in zip 97317 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447866892 | Jennifer Thompson Worley | Counselor | 524 Mendham Way, Salem, VA 24153-2141 | 2020-09-21 |
1982221966 | Sierra Noelle Williams | Counselor | 3867 Wolverine St Ne Bldg F, Salem, OR 97305-4266 | 2020-06-25 |
1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
1821610304 | Healthy Connections Counseling, LLC | Counselor | 2640 Portland Rd Ne, Salem, OR 97301-0125 | 2020-05-07 |
1396366118 | Stephanie Ann Hunt | Counselor | 4 Waters St, Salem, MA 01970-3965 | 2020-05-04 |
1497381750 | Hyun Mok Samuel Kang | Counselor | 35 Congress St Ste 351a, Salem, MA 01970-5567 | 2020-03-19 |
1780223610 | Josette Thompson | Counselor | 11 Boston St, Salem, MA 01970-2103 | 2019-12-23 |
1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
1871131201 | Silver Falls Trauma Recovery, LLC | Counselor | 495 State St Ste 540, Salem, OR 97301-3297 | 2019-12-16 |
1285278713 | Anita-elaine Harris | Counselor | 4890 32nd Ave Se Bldg A, Salem, OR 97317-9350 | 2019-10-28 |
Find all providers in SALEM |
Please comment or provide details below to improve the information on MIGUEL 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.