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JENNIFER GONZALEZ
NPI 1679123244
Counselor - Professional in Las Vegas, NV

Active since September 16, 2019PECOS Enrolled
6064 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148(702) 940-8007(702) 832-1940 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Sep 16, 2019 (2 updates tracked since 2019).

About Jennifer Gonzalez NPPES

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

JENNIFER GONZALEZ (NPI 1679123244) is an individual professional provider in Las Vegas, Nevada, licensed in Nevada (CP5181) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada, Las Vegas School Of Medicine (2019).

NPPES Registry Identity

NPI1679123244
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER GONZALEZ
Location Address6064 S FORT APACHE RD STE 100Las Vegas, NV 89148-5350
Mailing Address6064 S Fort Apache Rd Ste 100Las Vegas, NV 89148-5350 · (702) 940-8007 · Fax (702) 832-1940
Phone(702) 940-8007
Fax(702) 832-1940
Sole ProprietorNo
Medical School CMSUniversity Of Nevada, Las Vegas School Of MedicineGraduated 2019
Enumeration DateSeptember 16, 2019
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1679123244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NV · CP5181
6064 S FORT APACHE RD STE 100, Las Vegas, NV 89148
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688026164
PECOS Enrollment IDI20240119003568
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 8

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

KATRIELLA FERNANDEZ FNP-C
Nurse Practitioner (Family)
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 940-8007
KATHERINE D TRAVNICEK MD
Pain Medicine (Interventional Pain Medicine)
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 940-8007
ANDREW MICHAEL HALL M.D.
Pain Medicine (Pain Medicine)
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 940-8007
CAROLINA MORALES ALICEA PSY.D
Counselor (Mental Health)
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 940-8007
SHALENE AMIN
Pain Medicine (Interventional Pain Medicine)
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 940-8007
ALEXANDRA ELISABETH METZGER
Physician Assistant (Medical)
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 940-8007
HAROON ANDAR D.O.
Pain Medicine (Interventional Pain Medicine)
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 940-8007
BETHANY SUE SCHLINGER PSYD
Psychologist
6064 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 940-8007

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 Jennifer Gonzalez's NPI number?

The NPI number for Jennifer Gonzalez is 1679123244. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Jennifer Gonzalez located?

Jennifer Gonzalez practices at 6064 S Fort Apache Rd Ste 100, Las Vegas, NV 89148. The listed phone number is (702) 940-8007.

What is Jennifer Gonzalez's specialty?

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

Is Jennifer Gonzalez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Gonzalez was last updated on May 20, 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.