JOSE BENITO GONZALEZ (NPI# 1881878502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881878502 |
| Entity Type | Individual |
| Full Name | JOSE BENITO GONZALEZ |
| Practice Address |
3501 Spruce Ave Ste B South Lake Tahoe CA 96150-2302 |
| Mailing Address |
794 B San Francisco Ave South Lake Tahoe CA 96150 |
| Practice Telephone | 5305420740 |
| Practice Fax Number | 5305420397 |
| Mailing Telephone | 5305411745 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548755 | Jose Ramon Gonzalez | Behavior Technician | 16930 Sw 119th Ave, Miami, FL 33177-2114 | 2020-08-10 |
| 1215499090 | Jose Antonio Gonzalez | Student in an Organized Health Care Education/Training Program | 13890 Sw 143rd St Unit G, Miami, FL 33186-7556 | 2019-04-02 |
| 1346731197 | Jose Alberto Gonzalez Sr. | Specialist/Technologist, Other | 15005 Sw 8th Ter, Miami, FL 33194-2448 | 2018-05-27 |
| 1205335734 | Jose Antonio Gonzalez | Driver | 45 Sovereign Way, Hutchinson Island, FL 34949-8367 | 2018-02-11 |
| 1548784978 | Jose Luis Gonzalez | Technician/Technologist | 9400 Perrin Beitel Rd Ste 102, San Antonio, TX 78217-3511 | 2017-07-27 |
| 1831564046 | Jose Gonzalez | Nurse Practitioner | 9480 S. Eastern Ave. Suite 262, Henderson, NV 89052 | 2015-12-14 |
| 1568859551 | Jose T Gonzalez Jr. | Nurse Practitioner | 2017 W Expressway 83 Ste 1, Weslaco, TX 78596-4304 | 2015-04-17 |
| 1134510142 | Jose A Gonzalez | Registered Nurse | 3321 Nw 23rd Ct, Laud Lakes, FL 33311-2742 | 2015-02-12 |
| 1447664842 | Jose Gonzalez | Psychologist | Barcelo #12 Esq 173, Cidra, PR 00739-0000 | 2014-06-13 |
| 1588097653 | Jose Trejo Gonzalez | Radiologic Technologist | 14722 Country Rose Ln, Cypress, TX 77429-8044 | 2013-08-13 |
| Street Address |
3501 SPRUCE AVE STE B |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093838427 | Nicolas Huerta | Counselor | 3501 Spruce Ave Ste B, South Lake Tahoe, CA 96150-2302 | 2007-04-09 |
| 1285858555 | South Lake Tahoe Family Resource Center | Voluntary or Charitable | 3501 Spruce Ave Ste B, South Lake Tahoe, CA 96150-2302 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| 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 |
|---|---|---|---|---|
| 1013297837 | A Balanced Life: Individual, Family & Child Therapy, Inc. | Counselor | 2100 Eloise Ave, South Lake Tahoe, CA 96150-4306 | 2011-08-24 |
| 1023233848 | Gail St.james | Counselor | 932 Candlewood Dr, South Lake Tahoe, CA 96150-2818 | 2007-04-16 |
| 1801218318 | Jeffrey Evans | Counselor | 1360 Johnson Blvd Ste 103, South Lake Tahoe, CA 96150-8201 | 2014-01-17 |
| 1215362991 | Louann Marie Deberry | Counselor | 1360 Johnson Blvd, South Lake Tahoe, CA 96150-5027 | 2013-09-12 |
| 1376987560 | Laura Rosario Salinas | Counselor | 1021 Fremont Ave, South Lake Tahoe, CA 96150-8136 | 2013-04-18 |
| 1194954040 | Hector Reyes | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2009-07-13 |
| 1487882932 | Lisa Barker | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 | 2009-06-23 |
| 1144494501 | Sheree Smail | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2008-04-16 |
| 1619148475 | Maria Angie Flores | Counselor | 1021 Fremont Ave, South Lake Tahoe, CA 96150-8136 | 2008-03-19 |
| 1295928414 | Annetta Jean Hayward | Counselor | 1021 Fremont Ave, South Lake Tahoe, CA 96150-8136 | 2007-08-21 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
Please comment or provide details below to improve the information on JOSE BENITO 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.