JESUS GONZALEZ
NPI 1376859215
Counselor - Professional in Chicago, IL

Active since August 30, 2010PECOS EnrolledAccepts Medicare Assignment
9528 S AVENUE L, CHICAGO, IL 60617(773) 933-1627 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesus Gonzalez NPPES

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

JESUS GONZALEZ (NPI 1376859215) is an individual professional provider in Chicago, Illinois and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1376859215
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJESUS GONZALEZ
Location Address9528 S AVENUE LChicago, IL 60617-5120
Mailing Address9528 S Avenue LChicago, IL 60617-5120 · (773) 933-1627
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 30, 2010
NPI 1376859215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
9528 S AVENUE L, Chicago, IL 60617

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

Jesus 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.

PECOS PAC ID9133695224
PECOS Enrollment IDI20260416001128
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.

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 Jesus Gonzalez's NPI number?

The NPI number for Jesus Gonzalez is 1376859215. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is Jesus Gonzalez located?

Jesus Gonzalez practices at 9528 S Avenue L, Chicago, IL 60617. The listed phone number is (773) 933-1627.

What is Jesus Gonzalez's specialty?

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

Is Jesus Gonzalez enrolled in Medicare?

Yes. Jesus 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.

When was this NPI record last updated?

The NPPES record for Jesus Gonzalez was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.