Look up the most recent NPI and PECOS records

Algelis Gonzalez

Counselor

Behavioral Health & Social Service Providers

1825 Grand Club Blvd, Fort Pierce, FL 34982-8138

PECOS Enrollment

Based on the most recent information from CMS, provider Algelis Gonzalez is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1477373330
Provider Type
Individual
Full Name
Gonzalez, Algelis
Credential
LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/15/2024
Last Updated
10/15/2024

Contact Information

Practice Location

1825 Grand Club Blvd, Fort Pierce, FL 34982-8138

(772) 579-4378

Unlisted Fax

Mailing Location

1825 Grand Club Blvd, Fort Pierce, FL 34982-8138

(772) 579-4378

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH24379 Florida

Algelis Gonzalez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wells, Chiquita Lynn

Anderson, Vohondra

Morency, Frantz

Brainerd, Jasmine

Brown, Roderick Terrance

Way, Jennifer A

Mccolister-Cunningham, Phyllis

Davis, Roderick

Amis, William P

Sabo, John James