MISS RAQUEL GONZALES
NPI 1063881571
Psychologist in Lebanon, OR

Active since September 15, 2015PECOS EnrolledAccepts Medicare Assignment
100 MULLINS DR STE C1, LEBANON, OR 97355(541) 451-7450 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Jul 25, 2019, Jun 27, 2018 (3 updates tracked since 2018).

About Miss Raquel Gonzales NPPES

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

MISS RAQUEL GONZALES (NPI 1063881571) is an individual psychologist in Lebanon, Oregon, licensed in Oregon (4161) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063881571
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMISS RAQUEL GONZALES
Location Address100 MULLINS DR STE C1Lebanon, OR 97355-2868
Mailing Address100 Mullins Dr Ste C1Lebanon, OR 97355-2868 · (541) 451-7450
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 15, 2015
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1063881571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in OR · 4161✔ Licensed in CA · 35219
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
100 MULLINS DR STE C1, Lebanon, OR 97355

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Raquel Gonzales is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032646724
PECOS Enrollment IDI20241219000134
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Raquel Gonzales reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
100 MULLINS DR STE C
Lebanon, OR 97355
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1174862304 (Oregon)
  • 416 clinicians in this Medicare group
Family Medicine
1970 14TH AVE SE STE 130
Albany, OR 97322
  • Reassigned Medicare billing, Oregon enrollment
  • 432 clinicians in this Medicare group
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 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 6

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

Family Medicine (Addiction Medicine)
100 MULLINS DR STE C1
LEBANON, OR 97355
Family Medicine
100 MULLINS DR STE C1
LEBANON, OR 97355
Internal Medicine (Addiction Medicine)
100 MULLINS DR STE C1
LEBANON, OR 97355
Emergency Medicine
100 MULLINS DR STE C1
LEBANON, OR 97355
Counselor (Addiction (Substance Use Disorder))
100 MULLINS DR STE C1
LEBANON, OR 97355
Psychiatry & Neurology (Psychiatry)
100 MULLINS DR STE C1
LEBANON, OR 97355

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 Raquel Gonzales's NPI number?

The NPI number for Raquel Gonzales is 1063881571. It was assigned to this individual provider in the NPPES registry on September 15, 2015.

Where is Raquel Gonzales located?

Raquel Gonzales practices at 100 Mullins Dr Ste C1, Lebanon, OR 97355. The listed phone number is (541) 451-7450.

What is Raquel Gonzales's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Raquel Gonzales enrolled in Medicare?

Yes. Raquel Gonzales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Raquel Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Gonzales reassigns Medicare benefits to 3 organizations: Mid-Valley Healthcare Inc (Lebanon, OR), Albany General Hospital (Albany, OR) and Permanente Medical Group Inc (Vallejo, CA). Each 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 Raquel Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raquel Gonzales accept?

Health plans from Moda Health Plan, Inc. list Raquel 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 Raquel Gonzales was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.