MARY ALICE GONZALES (NPI# 1992052880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992052880 |
Entity Type | Individual |
Full Name | MARY ALICE GONZALES |
Credential | LPCA |
Practice Address |
665 W 4th St Winston Salem NC 27101-2701 |
Practice Telephone | 3367258389 |
Practice Fax Number | 3367143395 |
Mailing Telephone | 3367258389 |
Mailing Fax Number | 3367143395 |
Enumeration Date | 2012-08-09 |
Last Update Date | 2014-05-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
A8900 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740830983 | Mary Louise Gonzales | Doula | 5857 Hersholt Ave, Lakewood, CA 90712-1339 | 2019-09-19 |
1396213583 | Mary Elizabeth Gonzales | Behavior Technician | 1401 Parkmoor Ave Ste 108, San Jose, CA 95126-3403 | 2018-11-06 |
1730660234 | Mary Elva Gonzales | Nurse Practitioner | 188 Lantana Vly, Spring Branch, TX 78070-6098 | 2018-08-23 |
1396124764 | Mary Kristina Gonzales | Massage Therapist | 5427 Chicago Ave Sw, B1, Lakewood, WA 98499-3323 | 2015-05-19 |
1780928465 | Mary Isabel Gonzales | Psychologist | 1613 Weighost Dr, Harlingen, TX 78552-4289 | 2012-11-19 |
1316171424 | Mary Laura Gonzales | Speech-Language Pathologist | 202 W. Sunset, B, San Antonio, TX 78209 | 2009-05-05 |
1730254764 | Mary J Gonzales | Nurse Practitioner | Rr Fruit Street, Yaw 8b, Boston, MA 02114-2696 | 2006-11-22 |
1356814495 | Mary Gonzales | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-01-10 |
1013403203 | Mary C Gonzales | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2018-07-10 |
1447770706 | Mary Gonzales | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-06-27 |
Street Address |
665 W 4TH ST |
City | WINSTON SALEM |
State | NC |
Zip Code | 27101-2701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275668907 | Partnership for A Drug Free Nc, Inc | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2007-02-22 |
1649885435 | Katherine Margaret Atkins | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2020-09-09 |
1245848043 | Michala Chandler Washburn | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2020-07-17 |
1366060089 | Ja'kayla Monique Hill | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2020-07-09 |
1275151128 | Carla Jay Green | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2020-07-08 |
1578101069 | John T Anderson II | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2019-12-15 |
1164069142 | Emily Scott Krewson | Counselor | 665 W 4th St, Winston Salem, NC 27101-2701 | 2019-12-09 |
1497249197 | Everardo Aviles Ruiz | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2018-06-18 |
1073005039 | Catherine Woodford | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2018-06-05 |
1477045862 | Cory Bates | Social Worker | 665 W 4th St, Winston Salem, NC 27101-2701 | 2018-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
Find all providers in zip 27101 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295332476 | Tramaine King | Counselor | 3570 Vest Mill Rd Ste H, Winston Salem, NC 27103-2963 | 2020-10-01 |
1285267724 | B Balanced Counseling & Wellness, Pllc | Counselor | 939 Burke St Ste F, Winston Salem, NC 27101-2575 | 2020-02-12 |
1306482674 | Allison Grace Alford | Counselor | 8007 N Point Blvd Ste 209, Winston Salem, NC 27106-3268 | 2019-11-21 |
1609417468 | The Well Mind, Pllc | Counselor | 213 W 6th St Ste 6, Winston Salem, NC 27101-2901 | 2019-10-03 |
1619455797 | Nancy Stacy Hodges | Counselor | 1959 N Peace Haven Rd, Winston Salem, NC 27106-4850 | 2018-08-01 |
1326526732 | Anna Kathleen Fleig | Counselor | 983 Mar Don Dr, Winston Salem, NC 27104-4624 | 2018-07-30 |
1710478441 | Narissa D Huntley | Counselor | 1396 Old Mill Cir Ste 206, Winston Salem, NC 27103-2957 | 2018-05-29 |
1174022966 | Patrick Sal Ide | Counselor | 1922 S Martin Luther King Jr Dr Ste 255, Winston Salem, NC 27107-1361 | 2018-02-07 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1275070179 | Helen Humphrey | Counselor | 104 Cambridge Plaza Dr, Winston Salem, NC 27104-3556 | 2017-01-30 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27101 |
Please comment or provide details below to improve the information on MARY ALICE GONZALES.
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.