KELLI GONZALES NPI 1003422361

Counselor in Banning, CA

NPI 1003422361 Individual Female Counselor

About KELLI GONZALES

Kelli Gonzales is a provider established in Banning, California and her medical specialization is counselor. The NPI number of Kelli Gonzales is 1003422361 and was assigned on September 2020. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated one year ago.

Kelli Gonzales is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003422361

Provider Name KELLI GONZALES
Provider Location Address755 W HOFFER ST BANNING, CA 92220
Provider Mailing Address6235 RIVER CREST DR STE O RIVERSIDE, CA 92507
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-21-2020
Last Update Date09-21-2020


Primary Taxonomy

Taxonomy Code101Y00000X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA 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.

Business Address

KELLI GONZALES
755 W HOFFER ST
BANNING, CA
ZIP 92220
Phone: (951) 922-0356

Get Directions


Mailing Address

KELLI GONZALES
6235 RIVER CREST DR STE O
RIVERSIDE, CA
ZIP 92507
Phone: (951) 653-7561



Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780103747PLAN-IT LIFE, INC.
Organization
Community Based Residential Treatment Facility, Mental Illness755 W HOFFER ST
BANNING, CA 92220
(951) 922-0356
1437625761 SAM DUANE WORRALL
Individual
Marriage & Family Therapist755 W HOFFER ST
BANNING, CA 92220
(951) 992-2563
1003473059 EMILY COLE
Individual
Counselor755 W HOFFER ST
BANNING, CA 92220
(951) 922-0356
1467019497 RANDY NGUYEN
Individual
Counselor755 W HOFFER ST
BANNING, CA 92220
(951) 922-0356
1972160935 LILLIE DANIELS
Individual
Counselor755 W HOFFER ST
BANNING, CA 92220
(951) 922-0356
1689227621 EARL RICHARDS
Individual
Counselor755 W HOFFER ST
BANNING, CA 92220
(951) 922-0356

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.