Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Obdulio Gonzalez Mata

Individual provider Mental Health Counselor · NPI 1164138426

Obdulio Gonzalez Mata is a Mental Health Counselor in Coral Gables, Florida. Qualified in 2021, 5 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2023
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Practice location Address checks out

4649 Ponce De Leon Blvd Ste 404
Coral Gables, FL 33146-2121
Phone: (786) 536-9714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1164138426
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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