CLARISSA GONZALEZ (NPI# 1780292508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780292508 |
| Entity Type | Individual |
| Full Name | CLARISSA GONZALEZ |
| Practice Address |
4405 Padre Blvd South Padre Island TX 78597-7324 |
| Mailing Address |
115 Honeydale Rd Apt B Brownsville TX 78520-7805 |
| Practice Telephone | 8448207391 |
| Mailing Telephone | 9562042677 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
41906 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023518974 | Clarissa Ann Gonzalez | Speech-Language Pathologist | 2165 Sandy Creek Dr, Frisco, TX 75033-1480 | 2018-02-16 |
| 1407416969 | Clarissa Gonzalez | Behavioral Analyst | 677 Cliffside Dr Ste 677, San Dimas, CA 91773-2957 | 2019-06-17 |
| 1720534761 | Clarissa Gonzalez | Counselor | 3103 West Ave, San Antonio, TX 78213-4535 | 2016-08-30 |
| 1881964666 | Clarissa Andrea Gonzalez | Speech-Language Pathologist | 6301 Gaston Ave Ste 750, Dallas, TX 75214-3922 | 2012-01-10 |
| 1548479652 | Clarissa Gonzalez | Licensed Practical Nurse | 99 Guillermo Riefkohl St., Patillas, PA 00723-0697 | 2007-05-22 |
| Street Address |
4405 PADRE BLVD |
| City | SOUTH PADRE ISLAND |
| State | TX |
| Zip Code | 78597-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871092429 | Stephanie Jill Smith | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-09 |
| 1104435924 | Martha Lee Zer | Nurse Practitioner | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-07-28 |
| 1710595574 | Damaris A. Gracia | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-07-17 |
| 1003433921 | Edward Alan Yurick | Social Worker | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-06-26 |
| 1295351245 | Brad Fitch | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-06-24 |
| 1588289953 | Cindi Z Salinas | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-06-11 |
| 1093216038 | Melvin Scott Vandenburg | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| 1609377654 | Robert Letke | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| 1083115919 | David Tejeda | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| 1407357395 | Jennifer Pinkerton | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260962 | Medspaspi LLC. | General Practice | 3401 Padre Blvd., Suite A, South Padre Island, TX 78597 | 2019-08-15 |
| 1326566951 | Susan Kay Soto | Registered Nurse | 4701 Padre Blvd, #3041, South Padre Island, TX 78597 | 2017-09-04 |
| 1295007128 | Cedric Boyd Sr. | Registered Nurse | 224 Sunset Dr., South Padre Island, TX 78597 | 2012-02-08 |
| 1891093837 | Gerald Sher | Anesthesiology | 222 W. Huisache Street., South Padre Island, TX 78597 | 2011-02-28 |
| 1679549513 | Richard Bruce Debenedetto | Emergency Medicine | 2217 Padre Blvd, South Padre Island, TX 78597 | 2006-02-28 |
| 1699087650 | Spi Clinic, Pllc | Internal Medicine | 3808 Padre Blvd, South Padre Island, TX 78597 | 2010-07-07 |
| 1639405855 | Kerrville Med Express | Emergency Medicine | 2217 Padre Blvd, South Padre Island, TX 78597 | 2009-10-22 |
| 1427660059 | Heather Renee Stuart | Massage Therapist | 2216 Padre Blvd Ste B162, S Padre Isle, TX 78597-0204 | 2020-08-17 |
| 1194792622 | Orlando S. Tijerina | Anesthesiology | 125 B E Atol St, South Padre Island, TX 78597-2308 | 2006-03-03 |
| 1780149104 | Melva Hager | Specialist/Technologist | 110 E. Retama, Unit 1, South Padre Island, TX 78597-3336 | 2019-02-11 |
| Find all providers in zip 78597 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595574 | Damaris A. Gracia | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-07-17 |
| 1295351245 | Brad Fitch | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-06-24 |
| 1588289953 | Cindi Z Salinas | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-06-11 |
| 1093216038 | Melvin Scott Vandenburg | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| 1609377654 | Robert Letke | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| 1407357395 | Jennifer Pinkerton | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881655 | Frances Charline Lee Cole | Counselor | 6238 Raymond Rd, Kaufman, TX 75142-7624 | 2020-11-06 |
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1679173728 | Darlene Kearney | Counselor | 2626 S Loop W Ste 174, Houston, TX 77054-2873 | 2020-10-28 |
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1649879586 | Nicole Trevino | Counselor | 12631 E Clark Rd, La Feria, TX 78559-4528 | 2020-10-21 |
| 1144829060 | Reffitt Counseling, Pllc | Counselor | 301 S Rogers St Ste 106, Waxahachie, TX 75165-3682 | 2020-10-21 |
| 1548868664 | Michelle Villarreal | Counselor | 4720 Box Canyon Dr, Temple, TX 76502-7311 | 2020-10-12 |
| 1275131559 | Debbie Jo Stuard | Counselor | Debbie Stuard Lcdc/ma, 255 Airtex, Houston, TX 77090-7753 | 2020-10-09 |
| 1558968289 | Alexandra Glenn | Counselor | 3310 Louisiana St Apt 2304, Houston, TX 77006-6637 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PADRE ISLAND |
| Zip Code | 78597 |
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| 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.