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DEBORAH GONZALEZ MA, LPC
NPI 1194383430
Counselor - Mental Health in Chantilly, VA

Active since June 02, 2019Opted out of Medicare · through May 27, 2027
14143 ROBERT PARIS CT, CHANTILLY, VA 20151(703) 895-8598 Get Directions Write a Review

NPPES record last updated: June 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deborah Gonzalez Ma, Lpc NPPES

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

DEBORAH GONZALEZ MA, LPC (NPI 1194383430) is an individual mental health provider in Chantilly, Virginia, licensed in Virginia (0701008358) and active in the NPI registry since June 2019. She has opted out of Medicare through May 27, 2027.

NPPES Registry Identity

NPI1194383430
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEBORAH GONZALEZCredential: MA, LPC
Location Address14143 ROBERT PARIS CTChantilly, VA 20151-4201
Mailing Address14509 Akker CtGainesville, VA 20155-1342
Phone(703) 895-8598
Sole ProprietorYes
Enumeration DateJune 2, 2019
✔ NPI 1194383430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701008358
14143 ROBERT PARIS CT, Chantilly, VA 20151
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Deborah Gonzalez Ma, 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 May 27, 2025 through May 27, 2027.

Opt-Out Effective DateMay 27, 2025
Opt-Out In Effect ThroughMay 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

NADAL NUTRITION
Dietitian, Registered (Nutrition, Renal)
14143 ROBERT PARIS CT
CHANTILLY, VA 20151
Fairfax County (757) 585-3441
DAVID C HEEBNER, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
14143 ROBERT PARIS CT
CHANTILLY, VA 20151
Fairfax County (703) 403-2773
MR. DAVID C HEEBNER MA, LPC
Counselor
14143 ROBERT PARIS CT
CHANTILLY, VA 20151
Fairfax County (703) 815-1199

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 Deborah Gonzalez's NPI number?

The NPI number for Deborah Gonzalez is 1194383430. It was assigned to this individual provider in the NPPES registry on June 2, 2019.

Where is Deborah Gonzalez located?

Deborah Gonzalez practices at 14143 Robert Paris Ct, Chantilly, VA 20151. The listed phone number is (703) 895-8598.

What is Deborah Gonzalez's specialty?

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

Is Deborah Gonzalez enrolled in Medicare?

No. Deborah Gonzalez has opted out of Medicare through May 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Deborah Gonzalez was last updated on June 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.