Jorge M. Gama LPC PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JORGE M. GAMA LPC PLLC

Practice address

5624 SW Green Oaks Blvd
Arlington, TX 76017-1161

Phone

(682) 730-6363

Fax

(817) 483-6169

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jorge M Gama, LPC

Title

Managing Member

Phone

(682) 730-6363

Specialties & licenses 1

Addresses

Other names 1

• Mending Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl B Larrabee, LPC

  • Mental Health Counselor
  • Arlington, TX
  • NPI 1396497947

  Single Specialty

  NPD (past)
• Zamanda Martinez, LPC

  • Mental Health Counselor
  • Arlington, TX
  • NPI 1144076506
  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1023588480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S PARKRIDGE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 SW GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171161",
            "telephone_number": "682-730-6363",
            "fax_number": "817-483-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE M. GAMA LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "GAMA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "682-730-6363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendell Emmett Harrison Jones, MD MBA
• Joof Residence
• Komeka Jordan, RN
• Lauren Jordan
• Thomas M Jordan, R.PH
• Joseph a Remsik, LCSW
• Joseph Reed DMD & Assoc LLC
• Sheelarani Joseph, NP
• Tina Mathai Joseph
• Bruce R Josephson

• Professional Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.