Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Speedlin Gonzalez, PHD, LPC-S, LCDC

Individual provider Professional Counselor · NPI 1457730533

Stacy Speedlin Gonzalez, PHD, LPC-S, LCDC is a Mental Health Counselor in San Antonio, Texas. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4115 Medical Dr Ste 410
San Antonio, TX 78229-5637
Phone: (210) 369-9424
Fax: (210) 615-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 71780 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12679 (TX)

Record details

NPI number1457730533
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LPC-S , LCDC
Sole proprietorYes
NPI enumeratedMay 22, 2015
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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