KEREN Y GONZALEZ LPC
NPI 1750769030
Counselor - Mental Health in Fairfax, VA

Q: What is Keren Gonzalez's NPI number?

The NPI number for Keren Gonzalez is 1750769030. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Q: What is Keren Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keren Gonzalez was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2015PECOS Enrolled

3025 HAMAKER CT STE 450, FAIRFAX, VA 22031(703) 204-9100 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Keren Y Gonzalez Lpc NPPES

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

KEREN Y GONZALEZ LPC (NPI 1750769030) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0701010869) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750769030

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKEREN Y GONZALEZCredential: LPC

Location Address3025 HAMAKER CT STE 450Fairfax, VA 22031-2237

Mailing Address3025 Hamaker Ct Ste 450Fairfax, VA 22031-2237 · (703) 204-9100

Phone(703) 204-9100

Sole ProprietorNo

Enumeration DateMay 7, 2015

Last NPPES UpdateDecember 12, 2023

NPPES CertifiedDecember 12, 2023

✔ NPI 1750769030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VA · 0701010869

3025 HAMAKER CT STE 450, Fairfax, VA 22031

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Other Names 1

Former Name (1)Keren Y Gonzalez-morgan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keren Y Gonzalez 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.

Other Providers at the Same Location NPPES 14

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

CASEY M GLASSMAN MSW

Social Worker