Irene Gomez, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTL0204661 Issued in NM

Practice address

785 Anthony Drive
Anthony, NM 88021-2671

Phone

(575) 882-5100

Fax

(575) 882-1151

NPI assigned

Oct 7, 2019

Last updated

Oct 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Evizzit of Iowa Psychiatry PC

  dba Integrated Telehealth Partners

  • Psychiatry Physician
  • West Des Moines, IA
  • NPI 1740841188
  Medicare reassignment Care Compare group NPD
• Amanecer Community Counseling Center

  • Community/Behavioral Health Agency
  • Santa Teresa, NM
  • NPI 1033663984
  NPD
• Amanecer Community Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Anthony, NM
  • NPI 1669928982
  NPD (past)
• Counseling Las Cruces, LLC

  • Marriage & Family Therapist
  • Las Cruces, NM
  • NPI 1194107060
  NPD (past)
• Evizzit of Iowa Psychiatry PC

  • Adult Mental Health Clinic/Center
  • West Des Moines, IA
  • NPI 1679233183
  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1114568656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2671",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880212671",
            "telephone_number": "575-882-5100",
            "fax_number": "575-882-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 ANTHONY DRIVE",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880212671",
            "telephone_number": "575-882-5100",
            "fax_number": "575-882-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "IRENE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTL0204661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35650338",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Eduardo Gallegos, LMHC
• George Gamon, CPSW
• Maria Socorro Gamon
• Joselin Angelica Garcia Moya
• Letcia Garcia, LMHC
• Aida Y. Gonzales
• Crystal Yvette Gonzales
• Marisol Uribe Gonzales, SLP
• Daniel Gonzalez, BS
• Alana Denise Grajeda, LMSW

• Mental Health Counselor in Anthony, NM
• Providers in Anthony, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.