MR. RAUL K GONZALEZ (NPI# 1710328323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710328323 |
| Entity Type | Individual |
| Full Name | MR. RAUL K GONZALEZ |
| Credential | MSED |
| Practice Address |
1485 S M-139 Benton Harbor MI 49022 |
| Practice Telephone | 2699250585 |
| Practice Fax Number | 2699271326 |
| Mailing Telephone | 2699250585 |
| Mailing Fax Number | 2699271326 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2014-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401014052 | MI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487199055 | Raul Gonzalez | Behavior Technician | 1534 W 77th St, Hialeah, FL 33014-3317 | 2017-01-05 |
| 1194021436 | Raul Alberto Gonzalez | Massage Therapist | 14600 Sw 87th Ct, Palmetto Bay, FL 33176-8018 | 2011-02-03 |
| 1568621563 | Raul Sergio Gonzalez | Pathology | 601 Elmwood Ave # 626, Room G-5264a, Rochester, NY 14642-0001 | 2008-06-04 |
| 1407036601 | Raul C Gonzalez | Dentist | 1760 Coral Way, Coral Gables, FL 33145-2729 | 2007-11-06 |
| 1679618458 | Raul A Gonzalez | Physician Assistant | 446 Sw 191st Ter, Pembroke Pines, FL 33029-5463 | 2007-02-20 |
| 1821651670 | Raul Gonzalez | Technician, Other | 13428 Maxella Ave Ste 913, Marina Del Rey, CA 90292-5620 | 2019-04-17 |
| 1790107456 | Raul Gonzalez Jr. | Social Worker | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2014-01-15 |
| 1871642058 | Raul Gonzalez | Social Worker | 1933 S Broadway, Los Angeles, CA 90007-4501 | 2007-01-09 |
| 1366503773 | Raul Alberto Gonzalez | Internal Medicine | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2006-12-12 |
| 1356417596 | Raul Gonzalez | Clinical Neuropsychologist | 11200 Sw 8th St, Ahc4 - 461, Miami, FL 33199-2516 | 2006-11-28 |
| Street Address |
1485 S M-139 |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184703175 | Sita Rama Prasad Sajja | Psychiatry & Neurology | 1485 S M-139, Benton Harbor, MI 49022 | 2006-11-02 |
| 1174949796 | Panankosi Mbunjwa | Social Worker | 1485 S M-139, Benton Harbor, MI 49022 | 2014-03-06 |
| 1821429390 | Mariesa Tinkham | Social Worker | 1485 S M-139, Benton Harbor, MI 49023 | 2013-12-09 |
| 1376973867 | Julius Poole | Social Worker | 1485 S M-139, Benton Harbor, MI 49022 | 2013-11-19 |
| 1366787236 | Mark W Sanderson | Social Worker | 1485 S M-139, Benton Harbor, MI 49022 | 2012-12-04 |
| 1477898393 | Heather B Hollerbach | Social Worker | 1485 S M-139, Benton Harbor, MI 49022 | 2012-12-04 |
| 1528303591 | Mary B Pierce | Social Worker | 1485 S M-139, Benton Harbor, MI 49022 | 2012-12-03 |
| 1326383399 | Michael L Larkin | Social Worker | 1485 S M-139, Benton Harbor, MI 49022 | 2012-12-03 |
| 1023296852 | Allison C Ling | Social Worker | 1485 S M-139, Benton Harbor, MI 49022 | 2008-02-04 |
| 1447435318 | Kara Marie Pomeroy | Counselor | 1485 S M-139, Benton Harbor, MI 49022 | 2008-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
| 1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
| 1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
| 1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
| 1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
| 1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
| 1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
| Find all providers in zip 49022 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043685282 | Sheila Marie Krieger | Counselor | 5310 E Britain Ave, Benton Harbor, MI 49022-9768 | 2015-12-13 |
| 1992119341 | Roberto Overton | Counselor | 870 Colfax Avenue, Benton Harbor, MI 49022-4843 | 2014-06-13 |
| 1992018741 | Beverly Ann Sedlacek | Counselor | 1850 Colfax Ave., Benton Harbor, MI 49022-6753 | 2010-07-22 |
| 1639385263 | Thora Greaves | Counselor | 107 Water St, Suite #206, Benton Harbor, MI 49022-3451 | 2007-05-14 |
| 1568571487 | Glenn H Chapman | Counselor | 1850 Colfax Ave, Benton Harbor, MI 49022-6753 | 2006-08-30 |
| 1538790910 | Kristine Elizabeth Gervasi | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2020-02-04 |
| 1497211247 | Alyssa Marie Shelton | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-02-18 |
| 1194295626 | Dulce Reyes-cooke | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-11-27 |
| 1861902884 | Nicholas Deitrich | Counselor | 1485 M 139, Benton Harbor, MI 49022-5711 | 2017-10-04 |
| 1508397142 | Laura Christine Flood | Counselor | 1485 M 139, Benton Harbor, MI 49022-5711 | 2017-03-24 |
| Find all providers in BENTON HARBOR | ||||
| City | BENTON HARBOR |
| Zip Code | 49022 |
Please comment or provide details below to improve the information on MR. RAUL K GONZALEZ.
| 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.