Judith Gomez, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-16498 Issued in AZ

Practice address

815 E Cesar Chavez Blvd
San Luis, AZ 85349

Phone

(928) 627-3822

Fax

(928) 627-6666

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

No

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.

• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Somerton, AZ
  • NPI 1962507376

  AZ

  Medicare reassignment Care Compare group NPD
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Wellton, AZ
  • NPI 1245344316
  Care Compare group NPD
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
  • NPI 1063433720
  Care Compare group NPD (past)
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
  • NPI 1366812166
  Care Compare group NPD (past)
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • San Luis, AZ
  • NPI 1043324932
  Care Compare group
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Yuma, AZ
  • NPI 1780401380
  NPD

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunset Community Health Center Inc 28 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: judith.gomez.p1@direct.sunset.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2019.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1205481306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2017",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853492017",
            "telephone_number": "928-627-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E CESAR CHAVEZ BLVD",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-627-3822",
            "fax_number": "928-627-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JUDITH",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-16498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gadsden Elementary School District #32
• Yadira Gaona
• Gerardo Garcia
• Renee L Gearhart, M.ED. N.C.C.
• Jeanne Marie Gilmore
• Bellezza Gonzalez
• Darlena Gonzalez, FNP-BC
• Marybel Rodriguez Gonzalez, NURSE PRACTITIONER
• Miguel Angel Gonzalez, ED.S
• Miriam Gonzalez, DMD

• All providers in San Luis, AZ
• Counselor in Arizona

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