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MR. ETHAN D GONZALES RECOVERY COACH
NPI 1982187498
Peer Specialist in Vancouver, WA

Active since September 11, 2018
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 397-8246 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, Sep 11, 2018 (2 updates tracked since 2018).

About Mr. Ethan D Gonzales Recovery Coach NPPES

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

MR. ETHAN D GONZALES RECOVERY COACH (NPI 1982187498) is an individual peer specialist in Vancouver, Washington and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1982187498
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. ETHAN D GONZALESCredential: RECOVERY COACH
Location Address1601 E 4TH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing Address1601 E 4th Plain Blvd Bldg 17Vancouver, WA 98661-3717 · (360) 397-8246
Phone(360) 397-8246
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1982187498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1601 E 4TH PLAIN BLVD BLDG 17, Vancouver, WA 98661
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Other Providers at the Same Location NPPES 20

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

MS. KRYSTEN COTE MA
Case Manager/Care Coordinator
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8474
ENA VALJEVAC
Counselor
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
ALICIA MAY JACOBSON LLPN
Licensed Practical Nurse
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
CELINA ZAMORA
Nurse Practitioner (Psychiatric/Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
SHELBY FITZGERALD CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 514-2608
MS. TANNA SCHMID MSW
Counselor
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
RACHEL ROSE PIERCE-MAIANI
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
ANGELA BALLANTYNE
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246

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 Ethan Gonzales's NPI number?

The NPI number for Ethan Gonzales is 1982187498. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Ethan Gonzales located?

Ethan Gonzales practices at 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 397-8246.

What is Ethan Gonzales's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ethan Gonzales was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.