Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Stacy Gonzalez's specialty?

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

Q: 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 42 days 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 May 22, 2015PECOS Enrolled

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: August 09, 2026.

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

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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.

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

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Speedlin Gonzalez Ph.d, Lpc-s, Lcdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

NATASHA VILLALOBOS LMHC

Counselor (Professional)