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MS. SUSIE ANN GONSALVES LCSW
NPI 1295768513
Counselor - Mental Health in Temecula, CA

Active since July 09, 2006Opted out of Medicare · through Apr 1, 2028
32605 HIGHWAY 79 SOUTH, SUITE 206, TEMECULA, CA 92592(951) 302-6400(951) 302-6400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Susie Ann Gonsalves Lcsw NPPES

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

MS. SUSIE ANN GONSALVES LCSW (NPI 1295768513) is an individual mental health provider in Temecula, California, licensed in California (LCS18971) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1295768513
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SUSIE ANN GONSALVESCredential: LCSW
Location Address32605 HIGHWAY 79 SOUTH, SUITE 206Temecula, CA 92592
Mailing Address32605 Highway 79 South, Suite 206Temecula, CA 92592 · (951) 302-6400 · Fax (951) 302-6400
Phone(951) 302-6400
Fax(951) 302-6400
Sole ProprietorYes
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295768513 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 CA · LCS18971
32605 HIGHWAY 79 SOUTH, Temecula, CA 92592
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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

Ms. Susie Ann Gonsalves Lcsw 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

VIRGIL BENJAMIN DMD INC.
Dentist (General Practice)
32605 HIGHWAY 79 SOUTH, 213
TEMECULA, CA 92592
Riverside County (951) 302-8515
MS. ROCHELLE C RONDON MFT
Counselor (Mental Health)
32605 HIGHWAY 79 SOUTH
TEMECULA, CA 92592
Riverside County (760) 774-6469
DR. GLORIA JEAN GHANEM-YBARRA PSY.D.
Psychologist (Clinical)
32605 HIGHWAY 79 SOUTH, SUITE 202
TEMECULA, CA 92592
Riverside County (760) 443-1355
THE DR. DE LLANOS CLINIC, INC.
Psychiatry & Neurology (Psychiatry)
32605 HIGHWAY 79 SOUTH, SUITE 219
TEMECULA, CA 92592
Riverside County (951) 506-9112

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 Susie Gonsalves's NPI number?

The NPI number for Susie Gonsalves is 1295768513. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Susie Gonsalves located?

Susie Gonsalves practices at 32605 Highway 79 South Suite 206, Temecula, CA 92592. The listed phone number is (951) 302-6400.

What is Susie Gonsalves's specialty?

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

Is Susie Gonsalves enrolled in Medicare?

No. Susie Gonsalves has opted out of Medicare through April 1, 2028. 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 Susie Gonsalves was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.