DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.) – Mental Health Counselor, NPI 1306077730

DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.) is a healthcare provider. based in Tamarac, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PHD, M.S., L.M.H.C.. They hold a License No. MH8376 (FL). The NPI Number for DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.) is 1306077730

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.)
NPI
1306077730
Phone
(954) 798-3629
Address
6701 NW 58TH ST
Enumeration Date
3 August 2009
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543400173
Graduation Year
1998 (28 years ago)
PAC ID
3678733847
Group Practice PAC ID
5092120030
Professional Enrollment ID
I20240911004514
Address ID
FL330672040CO7451XRDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

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Provider Addresses for DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.)

  • 6701, Northwest 58th Street, Tamarac, Broward County, Florida, 33321, United States

    TAMARAC, FL 333215725

    Phone: (954) 798-3629

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240911004514IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092120030View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical PsychologistRI
Clinical PsychologistIL
Clinical PsychologistFL
P S Y C H I A T R YFL
Clinical Social WorkerFL
P S Y C H I A T R YFL
Clinical PsychologistFL
Nurse PractitionerFL
Clinical Social WorkerMD

Reviews

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Frequently asked questions

What NPI should I save for DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.)?
Save NPI 1306077730 if you need a stable reference for DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.).
Is DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.)'s specialty in plain language?
Clinically, the directory lists DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.) practice in Florida?
You will see Tamarac, Florida on file for DR. GLORIA M GONZALEZ (PHD, M.S., L.M.H.C.) alongside any extra practice locations.
What if Tamarac, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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