AMANDA GONZALES (NPI# 1396081485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396081485 |
| Entity Type | Individual |
| Full Name | AMANDA GONZALES |
| Practice Address |
121 Townsgate Plz Clovis NM 88101-3714 |
| Mailing Address |
Po Box 28220 Santa Fe NM 87592-8220 |
| Practice Telephone | 5757422620 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536729 | Amanda Gonzales | Social Worker | 3301 Candelaria Rd Ne Ste B, Albuquerque, NM 87107-1965 | 2020-07-29 |
| 1073085791 | Amanda Gonzales | Social Worker | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-12-19 |
| 1649777848 | Amanda Gonzales | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-04-12 |
| 1427564111 | Amanda Gonzales | Behavior Technician | 207 E Gordon Ave Ste 4, Layton, UT 84041-2375 | 2017-12-18 |
| 1669858205 | Amanda Gonzales | Case Manager/Care Coordinator | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2015-08-05 |
| 1912242009 | Amanda Ann Gonzales | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2012-11-30 |
| 1336497114 | Amanda Gonzales | Registered Nurse | 4856 Innovation Dr Ste B, Fort Collins, CO 80525-5540 | 2012-08-27 |
| 1366744179 | Amanda Gonzales | Case Manager/Care Coordinator | 632 Chama St Se Apt A, Albuquerque, NM 87108-3963 | 2010-11-30 |
| 1356657985 | Amanda Danette Gonzales | Optometrist | 3702 34th St, Lubbock, TX 79410-2836 | 2010-08-20 |
| 1225369754 | Amanda Gonzales | Specialist | 2500 W Lake Mary Blvd, Lake Mary, FL 32746-3501 | 2010-01-22 |
| Street Address |
121 TOWNSGATE PLZ |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447297999 | James Meehan Heneghan | Psychiatry & Neurology | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2006-06-01 |
| 1215384458 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2016-05-18 |
| 1649676826 | Jesus Acosta | Case Manager/Care Coordinator | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2014-11-14 |
| 1114323391 | Tabitha Acrey | Case Manager/Care Coordinator | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2014-11-14 |
| 1184025108 | Celeste Worley-utley | Case Manager/Care Coordinator | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2014-09-09 |
| 1194130963 | Damarick Harris | Case Manager/Care Coordinator | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2014-06-30 |
| 1710390976 | Lee Hill | Case Manager/Care Coordinator | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2014-06-05 |
| 1548672611 | Roberta Brooks | Case Manager/Care Coordinator | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2014-05-23 |
| 1942612031 | Barbara Jimenez | Case Manager/Care Coordinator | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2014-05-23 |
| 1790197192 | Hope Bass | Case Manager/Care Coordinator | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313272 | Scarlett Amber-lynn Thompson | Counselor | 913 Hinkle St, Clovis, NM 88101-5846 | 2020-10-11 |
| 1316487440 | Hung Tuong Do | Counselor | 2505 Stuart Ave, Clovis, CA 93611-5456 | 2017-03-08 |
| 1407392848 | Erica Pacheco | Counselor | 1041 Pierce Dr, Apt B, Clovis, CA 93612-1540 | 2017-01-09 |
| 1114395811 | Megan Hall | Counselor | 2700 East 7th St, Clovis, NM 88101 | 2015-09-11 |
| 1578940144 | Elizabeth Merrill | Counselor | 1200 N Thornton St, Suite J, Clovis, NM 88101-5508 | 2015-05-01 |
| 1578896544 | Juanita Calbert | Counselor | 121 Townsgate, Clovis, NM 88101 | 2009-09-09 |
| 1144553041 | Rhonda R Gallegos | Counselor | 300 East Fifth, Clovis, NM 88101 | 2009-09-09 |
| 1972836963 | Lukas L Ficklin | Counselor | 1200 N Thornton St Ste J, Clovis, NM 88101 | 2009-09-09 |
| 1215105390 | Eldon Embry | Counselor | 921 E. 21st St., Suite D, Clovis, NM 88101-4443 | 2008-02-12 |
| 1598849416 | Mario M Chavez | Counselor | 501 Commerce Way Ste 6, Clovis, NM 88101-4870 | 2006-10-25 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.