Individual provider Active NPI

Jessica Lynn Gomez, LMHC

  • Mental Health Counselor
  • Lakewood Ranch, FL
National Provider Identifier
1003559550
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20614 Issued in FL
Practice address
9015 Town Center Pkwy Unit 106
Lakewood Ranch, FL 34202-5012
Phone
(941) 567-6207
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH20614 FL Primary

Addresses

Primary practice location

9015 Town Center Pkwy Unit 106
Lakewood Ranch, FL 34202-5012

Mailing address

10933 High Noon TRL
Parrish, FL 34219-1419
Phone (717) 201-9500

Other names 1

  • Jessica Lynn Youngkin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 5, 2024 through Dec 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH20614FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Counseling Services Mental Health PastSince Feb 9, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1003559550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10933 HIGH NOON TRL",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342191419",
            "telephone_number": "717-201-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 TOWN CENTER PKWY UNIT 106",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025012",
            "telephone_number": "941-567-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "YOUNGKIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.