Jessica Gomez-Pool, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80475 Issued in TX

Practice address

3519 Paesanos Pkwy Ste 105
Shavano Park, TX 78231-1266

Phone

(210) 481-4265

Fax

(210) 851-8374

NPI assigned

Jan 7, 2021

Last updated

Jan 7, 2021By the provider in NPPES

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

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Desta Therapy, LLCGroup PAC ID 8224566708, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Desta Therapy, LLC

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1891529673
  Medicare reassignment Care Compare group NPD
• Garcias Family Wellness Psychology Group PLLC

  dba Garcias Family Wellness Psychology Group

  • Professional Counselor
  • Rio Grande City, TX
  • NPI 1679148761
  NPD (past)

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1083202709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 HIDEOUT BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544405",
            "telephone_number": "210-624-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 PAESANOS PKWY STE 105",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311266",
            "telephone_number": "210-481-4265",
            "fax_number": "210-851-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-POOL",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Armando Garza, DPT
• Gda Professional Counseling LLC
• Joseph Ghitis, MD
• Stephen Gill, M.D.
• Gomes Dental, PC
• Andrea M Gonzalez
• Clarice Evans Goodwin
• Emily Frances Gorman, M.D.
• Green Pastures Mental Care PLLC
• Gres Advanced DME

• Professional Counselor in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.