SELENA GONZALEZ NCC, LPC
NPI 1528667391
Counselor - Mental Health in Chicago, IL

Active since October 22, 2020PECOS Enrolled
611 W BRIAR PL, CHICAGO, IL 60657(312) 259-2665 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2026, Jan 4, 2024, Dec 8, 2023 and 1 more (4 updates tracked since 2020).

About Selena Gonzalez Ncc, Lpc NPPES

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

SELENA GONZALEZ NCC, LPC (NPI 1528667391) is an individual mental health provider in Chicago, Illinois, licensed in Indiana (39004647A) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1528667391
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSELENA GONZALEZCredential: NCC, LPC
Location Address611 W BRIAR PLChicago, IL 60657-4812
Mailing Address3938 Torrence AveHammond, IN 46327-1144 · (773) 266-4242
Sole ProprietorNo
Enumeration DateOctober 22, 2020
Last NPPES UpdateAugust 20, 20264 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1528667391 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 IN · 39004647A
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178.016347 (IL)
611 W BRIAR PL, Chicago, IL 60657

Secondary Practice Location 1

Location 12755 N Pine Grove AveChicago, IL 60614-6109 · Phone (312) 259-2665

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selena Gonzalez Ncc, Lpc 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.

Medicare Billing Reassignment

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

Rehabilitation, Substance Use Disorder
3701 N ASHLAND AVE
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 99 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 3

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

Home Health
611 W BRIAR PL, SUITE #4
CHICAGO, IL 60657
Social Worker
611 W BRIAR PL
CHICAGO, IL 60657
Counselor (Mental Health)
611 W BRIAR PL
CHICAGO, IL 60657

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 Selena Gonzalez's NPI number?

The NPI number for Selena Gonzalez is 1528667391. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Selena Gonzalez located?

Selena Gonzalez practices at 611 W Briar Pl, Chicago, IL 60657. The listed phone number is (312) 259-2665.

What is Selena Gonzalez's specialty?

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

Is Selena Gonzalez enrolled in Medicare?

Yes. Selena Gonzalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Selena Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Selena Gonzalez reassigns Medicare benefits to Rosecrance (Chicago, IL). 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 Selena Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Selena Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare, Oscar Health and UnitedHealthcare list Selena 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 Selena Gonzalez was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.