BRENNA GONZALES LPC
NPI 1053977199
Counselor - Professional in Phoenix, AZ

Active since May 14, 2019Opted out of Medicare · through Jan 16, 2028
7330 N 16TH ST STE C115, PHOENIX, AZ 85020(602) 935-7889 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, May 14, 2019 (2 updates tracked since 2019).

About Brenna Gonzales Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENNA GONZALES LPC (NPI 1053977199) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-16522) and active in the NPI registry since May 2019. She has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1053977199
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBRENNA GONZALESCredential: LPC
Location Address7330 N 16TH ST STE C115Phoenix, AZ 85020-8209
Mailing Address111 E Dunlap Ave Ste 1-117Phoenix, AZ 85020-7809 · (602) 935-7889
Sole ProprietorYes
Enumeration DateMay 14, 2019
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
NPI 1053977199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AZ · LPC-16522
7330 N 16TH ST STE C115, Phoenix, AZ 85020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Brenna Gonzales Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 16, 2024 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2024
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
7330 N 16TH ST STE C115
PHOENIX, AZ 85020
Nurse Practitioner (Psychiatric/Mental Health)
7330 N 16TH ST STE C115
PHOENIX, AZ 85020
Counselor (Mental Health)
7330 N 16TH ST STE C115
PHOENIX, AZ 85020
Counselor (Mental Health)
7330 N 16TH ST STE C115
PHOENIX, AZ 85020

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 Brenna Gonzales's NPI number?

The NPI number for Brenna Gonzales is 1053977199. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Where is Brenna Gonzales located?

Brenna Gonzales practices at 7330 N 16th St Ste C115, Phoenix, AZ 85020. The listed phone number is (602) 935-7889.

What is Brenna Gonzales's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brenna Gonzales enrolled in Medicare?

No. Brenna Gonzales has opted out of Medicare through January 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Brenna Gonzales accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Brenna 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 Brenna Gonzales was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.