CHRISTINE GONZALEZ MA, LPC
NPI 1366995904
Counselor - Professional in Middlebury, CT

Active since August 01, 2016PECOS EnrolledAccepts Medicare Assignment
984 SOUTHFORD RD, MIDDLEBURY, CT 06762(203) 758-2400 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2024, Mar 23, 2021 (2 updates tracked since 2021).

About Christine Gonzalez Ma, Lpc NPPES

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

CHRISTINE GONZALEZ MA, LPC (NPI 1366995904) is an individual professional provider in Middlebury, Connecticut, licensed in Connecticut (4647) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfield, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366995904
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTINE GONZALEZCredential: MA, LPC
Location Address984 SOUTHFORD RDMiddlebury, CT 06762-3234
Mailing Address984 Southford RdMiddlebury, CT 06762-3234 · (203) 758-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 1, 2016
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1366995904 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 CT · 4647
984 SOUTHFORD RD, Middlebury, CT 06762

Secondary Practice Location 1

Location 155 Walls Dr Ste 206Fairfield, CT 06824-5180 · Phone (203) 689-8989

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

Christine Gonzalez Ma, 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 ID2860845922
PECOS Enrollment IDI20240125001852
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Christine Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
984 SOUTHFORD RD
Middlebury, CT 06762
  • Reassigned Medicare billing, Connecticut enrollment
  • 60 clinicians in this Medicare group
Marriage & Family Therapist
55 WALLS DR, STE 206
Fairfield, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 42 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 12

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

Marriage & Family Therapist
984 SOUTHFORD RD
MIDDLEBURY, CT 06762
Social Worker (Clinical)
984 SOUTHFORD RD
MIDDLEBURY, CT 06762
Marriage & Family Therapist
984 SOUTHFORD RD
MIDDLEBURY, CT 06762
Social Worker (Clinical)
984 SOUTHFORD RD
MIDDLEBURY, CT 06762
Counselor (Professional)
984 SOUTHFORD RD
MIDDLEBURY, CT 06762
Counselor (Professional)
984 SOUTHFORD RD
MIDDLEBURY, CT 06762
Counselor (Professional)
984 SOUTHFORD RD
MIDDLEBURY, CT 06762
Social Worker (Clinical)
984 SOUTHFORD RD
MIDDLEBURY, CT 06762

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 Christine Gonzalez's NPI number?

The NPI number for Christine Gonzalez is 1366995904. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Where is Christine Gonzalez located?

Christine Gonzalez practices at 984 Southford Rd, Middlebury, CT 06762. The listed phone number is (203) 758-2400.

What is Christine Gonzalez's specialty?

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

Is Christine Gonzalez enrolled in Medicare?

Yes. Christine 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 Christine Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Gonzalez reassigns Medicare benefits to 2 organizations: Behavioral Health Center For Counseling & Learning, LLC (Middlebury, CT) and Emh Family Services PC (Fairfield, CT). 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 Christine Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christine Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Shield list Christine 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 Christine Gonzalez was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.