Madison Alexa Gomez, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

133389 Issued in CA

Practice address

1098 Melody LN Ste 101
Roseville, CA 95678-5138

Phone

(916) 884-3812

NPI assigned

Jun 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1003548520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959010086",
            "telephone_number": "530-300-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 MELODY LN STE 101",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785138",
            "telephone_number": "916-884-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MADISON",
        "middle_name": "ALEXA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "133389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Goller, DPT
• Lauren Elizabeth Gollnick, OTR/L
• Leticia Gomes
• Thalia Delia Gomes
• Yarely Gomez Diaz
• Michelle Gomez
• Naomi Gomez
• Tian Gong, PT, DPT
• Brooklynn Fay Gonzales, RN, IBCLC
• Dalila Gonzales, M.S.

• Mental Health Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.