PHILLIP GONZALEZ
NPI 1184429714
Counselor - Mental Health in St Augustine, FL
About Phillip Gonzalez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP GONZALEZ (NPI 1184429714) is an individual mental health provider in St Augustine, Florida, licensed in Florida (MH24823) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
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 and accepts Medicare assignment
Phillip Gonzalez 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.
Medicare Billing Reassignments
2Medicare enrollment records show Phillip Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Daytona Beach, FL 32114
- Reassigned Medicare billing, Florida enrollment
- 114 clinicians in this Medicare group
West Palm Beach, FL 33401
- Reassigned Medicare billing, Florida enrollment
- 2 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST AUGUSTINE, FL 32084
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 Phillip Gonzalez's NPI number?
The NPI number for Phillip Gonzalez is 1184429714. It was assigned to this individual provider in the NPPES registry on February 18, 2025.
Where is Phillip Gonzalez located?
Phillip Gonzalez practices at 1880 San Sebastian Vw, St Augustine, FL 32084. The listed phone number is (800) 539-4228.
What is Phillip Gonzalez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Phillip Gonzalez enrolled in Medicare?
Yes. Phillip Gonzalez 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 Phillip Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Gonzalez reassigns Medicare benefits to 2 organizations: Sma Healthcare, Inc (Daytona Beach, FL) and Flex Medical Centers, LLC (West Palm Beach, FL). 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 Phillip Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Gonzalez accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Phillip 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 Phillip Gonzalez was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Phillip Gonzalez · NPI 1184429714
Mental Health provider in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since February 18, 2025.
## Identity
- **NPI:** 1184429714 (Entity type: Individual)
- **Enumerated:** February 18, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH24823 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1880 SAN SEBASTIAN VW, St Augustine, FL 32084-8684
- **Phone:** (800) 539-4228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sma Healthcare, Inc (NPI 1255950168, Daytona Beach, FL); Flex Medical Centers, LLC (NPI 1780003863, West Palm Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184429714) · Data from the CMS NPPES public registry.