IGNACIO FABIAN GONZALES (MS) – Mental Health Counselor, NPI 1093742595
Mental Health Counselor
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,452 MENTAL HEALTH COUNSELOR in WA
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Provider Addresses for IGNACIO FABIAN GONZALES (MS)
South Pioneer Way, Moses Lake, Grant County, Washington, 98837, United States
MOSES LAKE, WA 98837
Phone: (509) 793-9780
Fax: (509) 764-3246
Type: Location
660, South Coolidge Street, Moses Lake, Grant County, Washington, 98837, United States
MOSES LAKE, WA 988371872
Phone: (509) 793-9715
Fax: (509) 764-3244
Type: Mailing
1616 S PIONEER WAY
MOSES LAKE, WA 988372487
Phone: (509) 793-9715
Fax: (509) 764-3244
Type: Mailing
1550 S PIONEER WAY STE 165
MOSES LAKE, WA 988374637
Phone: (509) 793-9780
Fax: (509) 764-3246
Type: Location
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: 2024-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240110004828 | I | Mental Health Counselor | WA | TBD |
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.
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 98837)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Emergency Medicine | WA | |
| Family Practice | WA | |
| Physician Assistant | WA | |
| - | PA | |
| Emergency Medicine | NJ | |
| Internal Medicine | IN | |
| Physician Assistant | OH | |
| Emergency Medicine | MA | |
| Certified Registered Nurse Anesthetist (Crna) | IN |
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