JESSICA NICOLE GONZALEZ
NPI 1164893426
Counselor - Mental Health in South Lake Tahoe, CA

Active since October 13, 2015
1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 573-7970(530) 543-6873 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Nicole Gonzalez NPPES

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

JESSICA NICOLE GONZALEZ (NPI 1164893426) is an individual mental health provider in South Lake Tahoe, California and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1164893426
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA NICOLE GONZALEZ
Location Address1900 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6305
Mailing Address1900 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6305 · (530) 573-7970 · Fax (530) 543-6873
Fax(530) 543-6873
Sole ProprietorNo
Enumeration DateOctober 13, 2015
NPI 1164893426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1900 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150

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.

Counselor (Mental Health)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
Registered Nurse (Psychiatric/Mental Health)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
Counselor (Mental Health)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
Counselor (Mental Health)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
Counselor (Mental Health)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
Community/Behavioral Health
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
Counselor (Mental Health)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
Clinic/Center (Adult Mental Health)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150

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 Jessica Gonzalez's NPI number?

The NPI number for Jessica Gonzalez is 1164893426. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Jessica Gonzalez located?

Jessica Gonzalez practices at 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 573-7970.

What is Jessica Gonzalez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jessica Gonzalez was last updated on October 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.