MARK GONZALES LAADC-CA LCI10970318
NPI 1619306289
Counselor - Addiction (Substance Use Disorder) in Visalia, CA

Q: What is Mark Gonzales's NPI number?

The NPI number for Mark Gonzales is 1619306289. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Q: What is Mark Gonzales's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Mark Gonzales was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 04, 2013

4023 W DOUGLAS AVE, VISALIA, CA 93291(510) 691-0474 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Feb 15, 2021, Mar 26, 2018 (3 updates tracked since 2018).

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About Mark Gonzales Laadc-ca Lci10970318 NPPES

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

MARK GONZALES LAADC-CA LCI10970318 (NPI 1619306289) is an individual addiction (substance use disorder) provider in Visalia, California, licensed in California (LCI10970318) and active in the NPI registry since November 2013. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619306289

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMARK GONZALESCredential: LAADC-CA LCI10970318

Location Address4023 W DOUGLAS AVEVisalia, CA 93291-4185

Mailing Address4023 W Douglas AveVisalia, CA 93291-4185 · (510) 691-0474

Phone(510) 691-0474

Sole ProprietorYes

Enumeration DateNovember 4, 2013

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2021

✔ NPI 1619306289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · LCI10970318

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5465630291 (CA)

4023 W DOUGLAS AVE, Visalia, CA 93291

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Secondary Practice Locations 2

Location 1408 Tennessee StVallejo, CA 94590-4453 · Phone (707) 554-2397 ext. 109

Location 24023 W Douglas AveVisalia, CA 93291-4185 · Phone (510) 691-0474

Other Identifiers 1

Other168767CA · Addiction Counselor Certification Board Of California

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 Mark Gonzales's NPI number?

The NPI number for Mark Gonzales is 1619306289. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Where is Mark Gonzales located?

Mark Gonzales practices at 4023 W Douglas Ave, Visalia, CA 93291. The listed phone number is (510) 691-0474.

What is Mark Gonzales's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Gonzales was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.