MR. MARK GONZALES (NPI# 1700057130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700057130 |
| Entity Type | Individual |
| Full Name | MR. MARK GONZALES |
| Credential | L.P.C. |
| Practice Address |
3035 Nw 63rd St 230 Oklahoma City OK 73116-3632 |
| Practice Telephone | 4052425342 |
| Practice Fax Number | 4055296972 |
| Mailing Telephone | 4052425342 |
| Mailing Fax Number | 4055296972 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2015-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2458 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200305510A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710379342 | Mark Gonzales | Physical Medicine & Rehabilitation | 1101 W 34th St, Suite 635, Austin, TX 78705-1907 | 2015-02-18 |
| 1699178756 | Mark Joseph Gonzales | Specialist/Technologist, Other | 8327 Bent Meadow Dr, Converse, TX 78109-3318 | 2014-10-03 |
| 1619306289 | Mark Gonzales | Counselor | 4023 W Douglas Ave, Visalia, CA 93291-4185 | 2013-11-04 |
| 1699038570 | Mark A. Gonzales | Emergency Medicine | 1001 S George St, York, PA 17403-3676 | 2012-06-16 |
| Street Address |
3035 NW 63RD ST 230 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922075159 | James O Hale | Counselor | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2006-03-07 |
| 1104357680 | Hannah Haikin | Counselor | 3035 Nw 63rd St, Oklahoma City, OK 73116-3632 | 2017-03-25 |
| 1669913117 | Sumali Fernando LLC | Psychologist | 3035 Nw 63rd St, Suite 225, Oklahoma City, OK 73116-3632 | 2017-03-16 |
| 1275082026 | Eric Scott | Counselor | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2016-09-21 |
| 1063969897 | Gabrielle Toloza | Psychologist | 3035 Nw 63rd St, Suite 227, Oklahoma City, OK 73116-3632 | 2016-09-09 |
| 1538614326 | Muhamedagic, LLC | Psychologist | 3035 Nw 63rd St, Suite 227, Oklahoma City, OK 73116-3632 | 2016-08-22 |
| 1942753603 | Rebekah Wilson | Case Manager/Care Coordinator | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2016-07-29 |
| 1760845218 | Merly Mathew, LLC | Psychologist | 3035 Nw 63rd St, Suite 227, Oklahoma City, OK 73116-3631 | 2016-04-01 |
| 1508236787 | Jonathan Hart | Psychologist | 3035 Nw 63rd St, Ste 227, Oklahoma City, OK 73116-3632 | 2015-10-01 |
| 1194108415 | Jennifer Kavanaugh Lcsw LLC | Clinic/Center | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2015-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1942819081 | Michael Sylvester Radonski | Counselor | 14700 Rambling Creek Cir, Oklahoma City, OK 73142-9719 | 2020-07-24 |
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1730713884 | Hanna Pauline Nassar | Counselor | 405 Nw 33rd St, Oklahoma City, OK 73118-8644 | 2020-02-27 |
| 1699319475 | Stephanie Gaynell Potts | Counselor | 1724 Ne 54th St, Oklahoma City, OK 73111-6832 | 2019-11-04 |
| 1962062471 | Babatunde Olumuyiwa Sosanya | Counselor | 1900 N Macarthur Blvd Ste 125, Oklahoma City, OK 73127-2650 | 2019-06-17 |
| 1598321440 | Tiba Counseling Center, Inc. | Counselor | 4301 Nw 63rd St Ste 305, Oklahoma City, OK 73116-1504 | 2019-05-16 |
| 1588132542 | Allison Martha Gibson | Counselor | 2525 Nw Expressway Ste 220, Oklahoma City, OK 73112-7227 | 2018-11-08 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on MR. MARK GONZALES.
| 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.