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

Phillip Gonzalez

Individual provider Mental Health Counselor · NPI 1184429714

Phillip Gonzalez is a Mental Health Counselor in St Augustine, Florida. Qualified in 2022, 4 years ago. Practices with Sma Healthcare Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1880 San Sebastian Vw
St Augustine, FL 32084-8684
Phone: (800) 539-4228
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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 · Licence MH24823 (FL)

Record details

NPI number1184429714
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address150 Magnolia Ave, Daytona Beach, FL 32114-4304

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sma Healthcare Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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