MRS. AUDREY GONZALEZ


Address: 1941 Frank Scott Pkwy E Ste C, O Fallon, IL 62269-7387
Phone: 6182068350

MRS. AUDREY GONZALEZ (NPI# 1437610086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437610086
Entity Type Individual
Full Name MRS. AUDREY GONZALEZ
Other Name AUDREY WARTSBAUGH
Credential LCPC
Practice Address 1941 Frank Scott Pkwy E Ste C
O Fallon
IL 62269-7387
Practice Telephone 6182068350
Enumeration Date 2019-03-27
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180.012116 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL DEPARTMENT OF PROFESSIONAL REGULATION 180.012116 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3 Oak Dr Ste B, Maryville, IL 620625635 6189721568

Other Providers AUDREY GONZALEZ

NPI Name Taxonomy Address Enumeration
1780035246 Audrey Marie Gonzalez Hearing Instrument Specialist 3201 Airline Rd, Suite A, Corpus Christi, TX 78414-3570 2016-06-27
1659678696 Audrey Parker Gonzalez Counselor 5305 N Scout Island Cir, Austin, TX 78731-6529 2011-02-25
1801398219 Audrey Gonzalez Physician Assistant 3230 Interstate 30 Ste 100, Mesquite, TX 75150-2662 2018-03-01
1598867657 Audrey Aracely Gonzalez Nurse Practitioner 947 S Anaheim Blvd, Suite 240, Anaheim, CA 92805-5582 2006-09-01

Office Location

Street Address 1941 FRANK SCOTT PKWY E STE C
City O FALLON
State IL
Zip Code 62269-7387

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648155 Kayla Revermann Pharmacist 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 2020-10-30
1942814272 Ashley Monique Gibson Behavior Technician Eagle Center, Ste 10, Ofallon, IL 62269 2020-09-03
1013533819 Michelle Denise Voudrie Registered Nurse 321 Regency Park, O'fallon, IL 62269 2020-06-18
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1962063800 Gerald Paskert Pharmacist 122 W. State St., O'fallon, IL 62269 2019-06-21
1780144808 Bonnie Jean Lampe Physical Therapy Assistant 316 Donna Dr, O'fallon, IL 62269 2019-03-24
1134633993 Latisha Smith Psychologist 600 S. Smiley St., O'fallon, IL 62269 2017-11-30
1619407210 Brenna M Thomas Registered Nurse 1310 Engle Ct, O'fallon, IL 62269 2017-06-15
1881135622 Pc Associates, LLC Family Medicine 800 East Highway 50, O'fallon, IL 62269 2017-03-13
1700230539 Jennifer Farrell Family Medicine 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 2016-04-18
Find all providers in zip 62269

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629683743 Nicole Vandelinde Counselor 1805 Bowler Rd, O Fallon, IL 62269-7005 2020-09-15
1225641251 Brenda French Counselor 302 Akoya Ct, O Fallon, MO 63366-4491 2020-08-28
1619590767 Amanda Marie Dillard Counselor 981 Whitechapel Dr, O Fallon, IL 62269-7270 2020-05-23
1851922488 Courtney Rydstrom Counselor 1001 Boardwalk Springs Pl Ste 113, O Fallon, MO 63368-4777 2020-02-02
1356716054 Starrynite Counseling, LLC Counselor 8 Eagle Ctr Ste 4, O Fallon, IL 62269-1963 2015-12-07
1699149161 Cristine Lou Mason Counselor 2940 Wheatfield Farms Dr, O Fallon, MO 63368-7848 2015-11-21
1205185774 Amy Christine Ilgenfritz Counselor 311 S Main St Ste 100, O Fallon, MO 63366-2807 2012-08-30
1861769184 Counseling Associates of Southern Illinois Counselor 1669 Windham Way Ste B, O Fallon, IL 62269-3072 2011-12-01
1952609729 Sharon Lynn Bass Counselor 7116 Twin Chimneys Blvd, O Fallon, MO 63368-8166 2011-03-03
1013241405 Lamette Johnstone Counselor 1137 N Main St Ste 2, O Fallon, MO 63366-1498 2009-10-01
Find all providers in O FALLON

Competitor

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City O FALLON
Zip Code 62269

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Dataset Information

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.

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