JACLYN GONZALES LPC-I
NPI 1023514270
Counselor - Professional in San Antonio, TX
About Jaclyn Gonzales Lpc-i NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN GONZALES LPC-I (NPI 1023514270) is an individual professional provider in San Antonio, Texas, licensed in Texas (79320) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaclyn Gonzales Lpc-i is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78230
- Reassigned Medicare billing, Texas enrollment
- 54 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78230
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jaclyn Gonzales's NPI number?
The NPI number for Jaclyn Gonzales is 1023514270. It was assigned to this individual provider in the NPPES registry on April 4, 2018.
Where is Jaclyn Gonzales located?
Jaclyn Gonzales practices at 9500 Tioga Dr, San Antonio, TX 78230. The listed phone number is (210) 616-0828.
What is Jaclyn Gonzales's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jaclyn Gonzales enrolled in Medicare?
Yes. Jaclyn Gonzales is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaclyn Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Gonzales reassigns Medicare benefits to Nueva Vida Behavioral Health Associates,inc (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Gonzales accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Jaclyn Gonzales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jaclyn Gonzales was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jaclyn Gonzales, LPC-I · NPI 1023514270
Professional provider in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since April 4, 2018.
## Identity
- **NPI:** 1023514270 (Entity type: Individual)
- **Enumerated:** April 4, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 79320 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9500 TIOGA DR, San Antonio, TX 78230-3118
- **Phone:** (210) 616-0828 · **Fax:** (855) 616-0829
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Nueva Vida Behavioral Health Associates,inc (NPI 1669565529, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1023514270) · Data from the CMS NPPES public registry.