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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRETT ESTEBAN GONZALEZ LCSW
NPI 1114482049
Social Worker - Clinical in Provo, UT

Active since February 05, 2019PECOS Enrolled
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Sep 30, 2026, Aug 7, 2026 and 4 more (7 updates tracked since 2019).

About Brett Esteban Gonzalez Lcsw NPPES

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

BRETT ESTEBAN GONZALEZ LCSW (NPI 1114482049) is an individual clinical provider in Provo, Utah, licensed in Tennessee (10633) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Knoxville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114482049
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRETT ESTEBAN GONZALEZCredential: LCSW
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address162d Market Place BlvdKnoxville, TN 37922-2337 · (865) 212-6600
Phone(801) 373-4760
Fax(801) 373-0639
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 5, 2019
Last NPPES UpdateOctober 8, 20267 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1114482049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TN · 10633✔ Licensed in UT · 8513907-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
750 N FREEDOM BLVD, Provo, UT 84601
Open in Google Maps ↗

Secondary Practice Location 1

Location 1162D Market Place BlvdKnoxville, TN 37922-2337 · Phone (865) 212-6600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett Esteban Gonzalez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507326972
PECOS Enrollment IDI20260904000218
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 Reassignment

Medicare enrollment records show Brett Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wasatch Behavioral Health Special Service District
Same address
Community/Behavioral Health
750 N FREEDOM BLVD, SUITE 300
Provo, UT 84601
  • Reassigned Medicare billing, Utah enrollment
  • 141 clinicians in this Medicare group
NPI 1356357115 (801) 373-4760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ELIZA RACHELLE GEDGE PH.D., LP
Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-0639
WASATCH MENTAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JUSTINE CADAYONG EGGLESTON
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SARAH FARIA
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
MEGAN NICHOLS
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
VICTORIA RYALS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KAMERYA HANOHANO
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ALLISON RAMIREZ
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

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 Brett Gonzalez's NPI number?

The NPI number for Brett Gonzalez is 1114482049. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Brett Gonzalez located?

Brett Gonzalez practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Brett Gonzalez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brett Gonzalez enrolled in Medicare?

Yes. Brett Gonzalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brett Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Gonzalez reassigns Medicare benefits to Wasatch Behavioral Health Special Service District (Provo, UT). 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 Brett Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brett Gonzalez accept?

Health plans from Molina Healthcare and Select Health list Brett Gonzalez 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 Brett Gonzalez was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.