MRS. AUTUMN ASHLEY GONZALEZ LCPC LMHP CAADC NPI 1699339978

NPI Information

  • NPI: 1699339978
  • Provider Name: MRS. AUTUMN ASHLEY GONZALEZ, LCPC, LMHP, CAADC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4101 JOHN DEERE RD
    MOLINE, IL
    ZIP 61265
  • Phone: (309) 762-5433

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NPI Details

MRS. Autumn Ashley Gonzalez, LCPC, LMHP, CAADC is a professional counselor in Moline, IL. MRS. Autumn Ashley Gonzalez, LCPC, LMHP, CAADC NPI is 1699339978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4101 JOHN DEERE RD
MOLINE, IL
ZIP 61265-951
Phone: (309) 762-5433
Fax: (309) 762-4481

The NPI 1699339978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/23/2019 and was last updated on 6/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)36433ILLINOISNo
3101YP2500XCounselorProfessional108785IOWANo
4101YP2500XCounselorProfessional180.013574ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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