MARISA GONZALES LPC
NPI 1245904069
Counselor - Professional in San Antonio, TX

Q: What is Marisa Gonzales's NPI number?

The NPI number for Marisa Gonzales is 1245904069. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Q: What is Marisa Gonzales's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Gonzales was last updated on October 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 04, 2021PECOS EnrolledAccepts Medicare Assignment

16607 BLANCO RD STE 1404, SAN ANTONIO, TX 78232(210) 209-0642(855) 357-8282 Get Directions Write a Review

NPPES record last updated: October 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2022, Aug 4, 2021 (2 updates tracked since 2021).

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About Marisa Gonzales Lpc NPPES

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

MARISA GONZALES LPC (NPI 1245904069) is an individual professional provider in San Antonio, Texas, licensed in Texas (81389) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245904069

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARISA GONZALESCredential: LPC

Location Address16607 BLANCO RD STE 1404San Antonio, TX 78232-1945

Mailing Address16607 Blanco Rd Ste 1404San Antonio, TX 78232-1945 · (210) 209-0642 · Fax (855) 357-8282

Phone(210) 209-0642

Fax(855) 357-8282

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 4, 2021

Last NPPES UpdateOctober 2, 20222 updates tracked since enumeration

NPPES CertifiedOctober 2, 2022

✔ NPI 1245904069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 81389

16607 BLANCO RD STE 1404, San Antonio, TX 78232

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa Gonzales Lpc 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 ID1557713203

PECOS Enrollment IDI20240117004929

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.

Other Providers at the Same Location NPPES 15

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

ASHLEY VILLARREAL LPC

Counselor