LISA GONZALEZ (NPI# 1346373206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346373206 |
| Entity Type | Individual |
| Full Name | LISA GONZALEZ |
| Credential | MS, LCDP |
| Practice Address |
501 W 14th St Wilmington DE 19801-1013 |
| Mailing Address |
205 W 14th St Wilmington DE 19801-1114 |
| Practice Telephone | 3024282987 |
| Practice Fax Number | 3024282984 |
| Mailing Telephone | 3023202100 |
| Mailing Fax Number | 3023202121 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CD-0000078 | DE | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00160100 | NJ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37CA00046700 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0077313 | 05 |
| 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 |
501 W 14TH ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226630 | James M Ellison | Psychiatry & Neurology | 501 W 14th St, Swank Memory Care Center, Gateway Bldg, 5th Floor, Wilmington, DE 19801-1013 | 2005-06-21 |
| 1780203497 | Shruti Nadkarni | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-13 |
| 1548889371 | Brianna Taylor Rafetto | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-12 |
| 1649899634 | Natalie Sarah Khan | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-10 |
| 1194354712 | Aesha Amin | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-06 |
| 1760010326 | Erin Elizabeth Royal | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-30 |
| 1902434640 | Austin D Hager | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-30 |
| 1922635606 | John Facciolo | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| 1053948661 | Shashi Prabha | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| 1265069892 | Katherine Ong | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443734 | Haylee Allen | Counselor | 2515 Costmary Ln Unit 11, Wilmington, NC 28412-2448 | 2020-10-08 |
| 1174130686 | Devan James Carroll | Counselor | 311 Judges Rd Ste E, Wilmington, NC 28405-3651 | 2020-09-29 |
| 1891306833 | Kyara Panula Beck | Counselor | 1104 N Adams St, Wilmington, DE 19801-1327 | 2020-08-13 |
| 1205447679 | Outreach Recovery II | Counselor | 1007 N Orange St Fl 4, Wilmington, DE 19801-1242 | 2020-08-11 |
| 1861010183 | Charles Franklin Lyon | Counselor | 3805 New Holland Dr, Wilmington, NC 28412-7155 | 2020-07-13 |
| 1407478092 | Samantha Renee Lomske | Counselor | 48 Randolph St, Wilmington, OH 45177-2731 | 2020-05-18 |
| 1659908853 | Andrena Caroline Cooley | Counselor | 3420 Wrightsville Ave, Wilmington, NC 28403-4118 | 2020-03-26 |
| 1376026559 | Debra Joy Frump | Counselor | 232 N South St, Wilmington, OH 45177-1649 | 2018-09-13 |
| 1831671791 | Kristin Jones | Counselor | 2206a Wrightsville Ave, Wilmington, NC 28403-2406 | 2018-09-06 |
| 1043798853 | Shareeda Cephas | Counselor | 2507 W 6th St, Wilmington, DE 19805-2908 | 2018-08-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
Please comment or provide details below to improve the information on LISA 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.