Jose M Gomez Ma LPC Caadc CCS LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JOSE M GOMEZ MA LPC CAADC CCS LLC

Practice address

30521 Schoenherr Rd # 200a
Warren, MI 48088-3161

Phone

(248) 470-8918

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Jose M GomezNPI 1558628271

Title

Owner

Phone

(248) 470-8918

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Mateo Gomez, MA, LPC, CAADC, CCS

  • Professional Counselor
  • Warren, MI
  • NPI 1558628271
  NPD Authorized official

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1194483321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 NADINE ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482376932",
            "telephone_number": "248-470-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30521 SCHOENHERR RD # 200A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883161",
            "telephone_number": "248-470-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M GOMEZ MA LPC CAADC CCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-8918"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catalina Jorascu
• Daniellie Jordan
• Marcia Annette Faith Jordan
• Natasha Jordan
• Star Jordan
• Joseph E Silver DPM PC
• Rania Adam Joseph
• Catelyn Josephson
• Anand Joshi
• Joyful Journeys Wellness Center

• Professional Counselor in Warren, MI
• Providers in Warren, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.