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STACY SPEEDLIN GONZALEZ PH.D, LPC-S, LCDC
NPI 1457730533
Counselor - Professional in San Antonio, TX

Active since May 22, 2015PECOS EnrolledAccepts Medicare Assignment
4115 MEDICAL DR STE 410, SAN ANTONIO, TX 78229(210) 369-9424(210) 615-1122 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2021, Aug 16, 2021, Nov 23, 2015 (3 updates tracked since 2015).

About Stacy Speedlin Gonzalez Ph.d, Lpc-s, Lcdc NPPES

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

STACY SPEEDLIN GONZALEZ PH.D, LPC-S, LCDC (NPI 1457730533) is an individual professional provider in San Antonio, Texas, licensed in Texas (71780) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1457730533
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY SPEEDLIN GONZALEZCredential: PH.D, LPC-S, LCDC
Location Address4115 MEDICAL DR STE 410San Antonio, TX 78229-5637
Mailing Address4115 Medical Dr Ste 410San Antonio, TX 78229-5637 · (210) 369-9424 · Fax (210) 615-1122
Phone(210) 369-9424
Fax(210) 615-1122
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 22, 2015
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1457730533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 71780
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12679 (TX)
4115 MEDICAL DR STE 410, San Antonio, TX 78229
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Speedlin Gonzalez Ph.d, Lpc-s, Lcdc 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 ID6901326180
PECOS Enrollment IDI20260626004757
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 Reassignment

Medicare enrollment records show Stacy Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luz Counseling And Consulting, PLLC
Same address
Professional
4115 MEDICAL DR STE 105
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1386310621 (830) 377-0713

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 5

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

NATASHA VILLALOBOS LMHC
Counselor (Professional)
4115 MEDICAL DR STE 410
SAN ANTONIO, TX 78229
Bexar County (210) 369-9424
MRS. BEATRICE L BLACKMON LCSW
Social Worker (Clinical)
4115 MEDICAL DR STE 410
SAN ANTONIO, TX 78229
Bexar County (210) 369-9424
LAUREN LOPEZ LPC
Counselor (Professional)
4115 MEDICAL DR STE 410
SAN ANTONIO, TX 78229
Bexar County (210) 369-9424
ANNTRINAQUE LEWIS LPC
Counselor (Professional)
4115 MEDICAL DR STE 410
SAN ANTONIO, TX 78229
Bexar County (210) 369-9424
CARLY FRIEDMAN PHD, MA, LPC
Counselor
4115 MEDICAL DR STE 410
SAN ANTONIO, TX 78229
Bexar County (512) 588-3323

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 Stacy Gonzalez's NPI number?

The NPI number for Stacy Gonzalez is 1457730533. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Stacy Gonzalez located?

Stacy Gonzalez practices at 4115 Medical Dr Ste 410, San Antonio, TX 78229. The listed phone number is (210) 369-9424.

What is Stacy Gonzalez's specialty?

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

Is Stacy Gonzalez enrolled in Medicare?

Yes. Stacy 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 organization bills Medicare for Stacy Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Gonzalez reassigns Medicare benefits to Luz Counseling And Consulting, PLLC (San Antonio, TX). The 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 Stacy Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Gonzalez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Stacy 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 Stacy Gonzalez was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.