Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437610086 Individual Practitioner Female Practitioner

Audrey Gonzalez , LCPC

Counselor - Professional • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Audrey Gonzalez, LCPC is a registered healthcare professional specializing in Counselor - Professional in O Fallon, IL. Practice services are available at 807 W HIGHWAY 50 STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

807 W Highway 50 Ste 3

O Fallon, IL 622691856

Telephone 6184688069
Fax 6192022160
Associated Practice Facility / Clinic
🏢 Untangled Minds Pllc Facility NPI 1952022527

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
31 Specialists

Practicing in O Fallon, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.012116

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MO 2021046000

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Department Of Professional Regulation
2021046000 (MO)
Commercial Insurance / Payer ID Department Of Professional Regulation
180.012116 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Nataly Hatfield

Counselor - Mental Health

NPI 1013807304

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 03, 2023

Registered at 807 W HIGHWAY 50 STE 3, O FALLON, IL 622691856 (Tel: 6184688069)

📍
Updated Business Mailing Address August 03, 2023

Registered at 807 W HIGHWAY 50 STE 3, O FALLON, IL 622691856 (Tel: 6184688069)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Counselor (License #180.012116 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2021

Counselor (License #2021046000 in MO)

NPI Profile Active March 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2019

Registered at 1941 FRANK SCOTT PKWY E STE C, O FALLON, IL 622697387 (Tel: 6182068350)

📍
Updated Business Mailing Address March 27, 2019

Registered at 1941 FRANK SCOTT PKWY E STE C, O FALLON, IL 622697387

👤
Provider Name / Credentials Updated March 27, 2019

Recorded as AUDREY GONZALEZ, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2019

Counselor (License #180.012116 in IL)

🟢
Initial NPI Registration & Enumeration March 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437610086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2019
Last Update: August 03, 2023
Sole Proprietor: No

Mailing Address

807 W Highway 50 Ste 3

O Fallon, IL 622691856

Phone: 6184688069

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.