Jerusha Anne Gomez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2516 Issued in TN

Practice address

457 Kristie Michelle LN
Clarksville, TN 37042-7039

Phone

(270) 484-6575

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jerushagomez@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1114180551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 KRISTIE MICHELLE LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427039",
            "telephone_number": "270-484-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 KRISTIE MICHELLE LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427039",
            "telephone_number": "270-484-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JERUSHA",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2516",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC2721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Golson
• Manuela Gomez Arango, BA IN PSYCHOLOGY
• Clarisse Gomez Vera
• Christian Gomez, DPT, PT
• James Andrew Gomez
• Barbara Ann Goodell
• Michelle Arlene Goodheart, RDA
• Tonia Mechelle Goodrich, M S
• Amanda Joyce Goralewski
• Angela C Gordon

• Mental Health Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.