Jodie Lynn Gonzalez, LPC,LISAC
NPI 1215534946ActiveIndividual· Counselor, Professional· Buckeye, AZ
Counselor, Professional (LPC,LISAC) in Buckeye, Arizona, licensed in AZ, with an NPI issued in October 2020. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1215534946 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC,LISAC |
| Sole proprietor | Yes |
| NPI issued | Oct 6, 2020 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-19626 | AZ |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LISAC-155232 | AZ |
| Counselor, Mental Health | 101YM0800X | LPC-19626 | AZ |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AZ) |
|---|
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