IGNACIO FABIAN GONZALES (MS) – Mental Health Counselor, NPI 1093742595

IGNACIO FABIAN GONZALES (MS) is a healthcare provider. based in Moses lake, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS. They hold a License No. LH60063586 (WA). The NPI Number for IGNACIO FABIAN GONZALES (MS) is 1093742595

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
IGNACIO FABIAN GONZALES (MS)
NPI
1093742595
Phone
(509) 793-9780
Address
1550 S PIONEER WAY STE 150
Enumeration Date
28 June 2006
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097939780
Graduation Year
2005 (21 years ago)
PAC ID
3375994627
Group Practice PAC ID
9931095692
Professional Enrollment ID
I20240110004828
Address ID
WA988374613MO1550XWAYX400

Contacts

Secure Messaging
igonzales1203549@wm.providencdirect.org
Secure Messaging
igonzales1203549@wm.providencedirect.org
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness95
Years active:19State licenses:2Other names

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240110004828IMental Health CounselorWATBD

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 98837)

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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: 9931095692View full group profile
NameSpecialtyState
Family PracticeKY
Emergency MedicineWA
Family PracticeWA
Physician AssistantWA
-PA
Emergency MedicineNJ
Internal MedicineIN
Physician AssistantOH
Emergency MedicineMA
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

What NPI should I save for IGNACIO FABIAN GONZALES (MS)?
Save NPI 1093742595 if you need a stable reference for IGNACIO FABIAN GONZALES (MS).
Is IGNACIO FABIAN GONZALES (MS) currently active in the NPI registry?
CMS-published data lists IGNACIO FABIAN GONZALES (MS) as an active registrant.
Does IGNACIO FABIAN GONZALES (MS) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for IGNACIO FABIAN GONZALES (MS). Clinical services aligned with this taxonomy classification.
Where does public data place IGNACIO FABIAN GONZALES (MS)?
The snapshot lists Moses Lake, Washington for IGNACIO FABIAN GONZALES (MS); download NPPES for the complete set.
How can I contact IGNACIO FABIAN GONZALES (MS)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.