Gino Mata, LCDC-INTERN
Gino Mata is a Addiction (Substance Use Disorder) Counselor provider (Counselor) practicing in Azle, TX, registered in the NPPES registry with NPI 1417736521 since 2023. Practices at Stonegate Center, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1417736521 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Gino Mata |
| Credential | LCDC-INTERN |
| Sex | Male |
| Practice address | Azle, TX, 76020 |
| Phone | 8174488893 |
| Enumeration date | 2023-09-27 |
| Last updated in NPPES | 2023-09-27 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | CI | TX |
Copy-ready billing details
Provider: Gino Mata, LCDC-INTERN NPI: 1417736521 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: Azle, TX, 76020
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447573670 | Stonegate Center, LLC | Organization | Substance Abuse Rehabilitation Facility | Azle, TX |
| 1881140234 | William Stoy | Individual | Professional Counselor | Azle, TX |
| 1568071439 | Cassandra Donahue | Individual | Professional Counselor | Azle, TX |
| 1316726433 | Sydney Montgomery | Individual | Professional Counselor | Azle, TX |
| 1730968843 | Alfred Torres | Individual | Addiction (Substance Use Disorder) Counselor | Azle, TX |
| 1558140665 | Sheila Turner | Individual | Addiction (Substance Use Disorder) Counselor | Azle, TX |
| 1992584015 | Arianna Martinez | Individual | Addiction (Substance Use Disorder) Counselor | Azle, TX |
| 1487400941 | Jessica Henggeler | Individual | Family Nurse Practitioner | Azle, TX |
Verify this record
Cross-check NPI 1417736521 against the authoritative CMS record: view Gino Mata on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-27.