Individual provider Active NPI

Jessica Marie Hope Gomez

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1013785518
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149949 Issued in CA
Practice address
5957 S Garden CT
San Jose, CA 95138-1854
Phone
(408) 613-8233
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APCC8862 CA
Marriage & Family Therapist 106H00000X 149949 CA Primary

Addresses

Primary practice location

5957 S Garden CT
San Jose, CA 95138-1854

Mailing address

PO Box 23671
San Jose, CA 95153-3671
Phone (408) 613-8233

Other practice location 1

5601 W Slauson Ave Ste 192
Culver City, CA 90230-6569
Phone (424) 331-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104003747 CA Practitioner - Marriage and Family Therapist 7315470986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APCC8862CAMDProfessional Counselor
149949CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Sep 19, 2024 Accepting new patients
Brighter Tomorrow Family Therapy Inc Marriage & Family Therapist PastSince Dec 14, 2025 Accepting new patients
Kohan International Foundation Marriage & Family Therapist PastSince Mar 27, 2015 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 3

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1013785518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23671",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951533671",
            "telephone_number": "408-613-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 S GARDEN CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381854",
            "telephone_number": "408-613-8233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 W Slauson Ave Ste 192",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306569",
            "country_code": "US",
            "telephone_number": "424-331-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JESSICA",
        "middle_name": "MARIE HOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC8862",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.