MRS. AUDREY GONZALEZ LCPC
NPI 1437610086
Counselor - Professional in O Fallon, IL
NPI Status: Active since March 27, 2019
Contact Information
807 W HIGHWAY 50 STE 3
O FALLON, IL
ZIP 62269
Phone: (618) 468-8069
Fax: (619) 202-2160
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
About AUDREY GONZALEZ
This page provides the complete NPI Profile along with additional information for Audrey Gonzalez, a provider established in O Fallon, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1437610086 assigned on March 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 180.012116 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1437610086
- Provider Name
- MRS. AUDREY GONZALEZ LCPC
- Other Name
- AUDREY WARTSBAUGH LCPC
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 807 W HIGHWAY 50 STE 3 O FALLON, IL 62269
- Location Phone
- (618) 468-8069
- Location Fax
- (619) 202-2160
- Mailing Address
- 807 W HIGHWAY 50 STE 3 O FALLON, IL 62269
- Mailing Phone
- (618) 468-8069
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-27-2019
- Last Update Date
- 08-03-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.012116
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 2021046000 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2021046000 | OTHER (01) | MO | DEPARTMENT OF PROFESSIONAL REGULATION |
| 180.012116 | OTHER (01) | IL | DEPARTMENT OF PROFESSIONAL REGULATION |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 6 | 1 | 0 | 0 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 12 | 1 | 0 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 1 + 2 + 1 + 0 + 0 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1437610086 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669176129 | JP THERAPEUTIC SERVICES Organization | Counselor (Professional) | 807 W HIGHWAY 50 STE 3 O FALLON, IL 62269 (217) 821-5232 |
| 1952022527 | UNTANGLED MINDS PLLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 807 W HIGHWAY 50 STE 3 O FALLON, IL 62269 (618) 468-8069 |
| 1487422952 | ASHANTI MUHAMMAD-PITTMAN LCPC Individual | Counselor (Professional) | 807 W HIGHWAY 50 STE 3 O FALLON, IL 62269 (618) 347-4129 |
| 1871361352 | REPLENISHING WELLNESS, LLC Organization | Counselor (Professional) | 807 W HIGHWAY 50 STE 3 O FALLON, IL 62269 (618) 347-4129 |
| 1477386605 | BLOOMING HOPE COUNSELING PLLC Organization | Community/Behavioral Health | 807 W HIGHWAY 50 STE 3 O FALLON, IL 62269 (618) 836-8142 |
| 1902582513 | ASHLYN STAVES Individual | Counselor (Professional) | 807 W HIGHWAY 50 STE 3 O FALLON, IL 62269 (618) 836-8142 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437610086, enumerated in the NPI registry as an "individual" on March 27, 2019
The provider is located at 807 W Highway 50 Ste 3 O Fallon, Il 62269 and the phone number is (618) 468-8069
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 27, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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