Elizabeth Gomez, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

349078 Issued in CA

Practice address

216 N Glendora Ave Ste 205
Glendora, CA 91741-6924

Phone

(626) 488-1253

NPI assigned

Dec 30, 2024

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

Other names 1

• Mrs. Elizabeth Lujan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1184432635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N GLENDORA AVE STE 205",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416924",
            "telephone_number": "626-488-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N GLENDORA AVE STE 205",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416924",
            "telephone_number": "626-488-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "349078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LUJAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• GM Care Home Health Inc
• Jeanine Lee Goff, FNP
• Gloria Goh, PHARMD
• Bryan Gomez, XXX34392
• Christina Ashley Gomez
• Sarah Rose Gomez
• Thania Lizzeth Gonzalez Barceleau
• Desandra Gonzalez, MSW
• Esteban Gonzalez, REGISTERED NURSE
• Ruby Gonzalez, M.D.

• Mental Health Counselor in Glendora, CA
• Providers in Glendora, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.