MRS. PATRICIA JANE GONZALEZ LPC, MT-BC
NPI 1396085387
Counselor - Mental Health in Broomall, PA

Q: What is Patricia Gonzalez's NPI number?

The NPI number for Patricia Gonzalez is 1396085387. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Q: What is Patricia Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patricia Gonzalez was last updated on January 17, 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.

Active since February 27, 2013PECOS EnrolledAccepts Medicare Assignment

390 REED RD FL 1, BROOMALL, PA 19008(484) 450-6476(484) 224-3398 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2020, Feb 26, 2016 (2 updates tracked since 2016).

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About Mrs. Patricia Jane Gonzalez Lpc, Mt-bc NPPES

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

MRS. PATRICIA JANE GONZALEZ LPC, MT-BC (NPI 1396085387) is an individual mental health provider in Broomall, Pennsylvania, licensed in Pennsylvania (PC007798) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396085387

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. PATRICIA JANE GONZALEZCredential: LPC, MT-BC

Location Address390 REED RD FL 1Broomall, PA 19008-4008

Mailing Address233 S Swarthmore AveSwarthmore, PA 19081-1606 · (267) 205-6776

Phone(484) 450-6476

Fax(484) 224-3398

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 27, 2013

Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2024

✔ NPI 1396085387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in PA · PC007798

Also ListedMusic TherapistTaxonomy 225A00000X

390 REED RD FL 1, Broomall, PA 19008

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Other Identifiers 1

Medicaid103499164PA

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

Mrs. Patricia Jane Gonzalez Lpc, Mt-bc 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 ID7618113507

PECOS Enrollment IDI20240112004174

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.

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