Active NPI
Steven Mark Gomez, M.A., L.P.C.
- Professional Counselor
- Arlington Heights, IL
National Provider Identifier
1093036055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178004917
- Practice address
- 3375 N Arlington Heights Rd
Suite F
Arlington Heights, IL 60004-7701 - Phone
- (847) 577-4530
- Fax
- (847) 577-4306
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178004917 | IL | Primary |
Addresses
Primary practice location
3375 N Arlington Heights Rd
Suite F
Arlington Heights, IL 60004-7701
Mailing address
3375 N Arlington Heights Rd
Suite F
Arlington Heights, IL 60004-7701
Phone (847) 577-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178004917 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Counseling Associates, LTD | Past | 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.
-
- Clinical Psychologist
- Arlington Heights, IL
- NPI 1437243094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1093036055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE F",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600047701",
"telephone_number": "847-577-4530",
"fax_number": "847-577-4306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE F",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600047701",
"telephone_number": "847-577-4530",
"fax_number": "847-577-4306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "STEVEN",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178004917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.