Individual provider Active NPI

Ryan Albatera Gomito, PHD

  • Mental Health Counselor
  • North Las Vegas, NV
National Provider Identifier
1235010307
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
208794 Issued in NV
Practice address
4738 Wild Draw Dr
North Las Vegas, NV 89031-2899
Phone
(702) 485-5256
NPI assigned
Sep 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 208794 NV Primary

Addresses

Primary practice location

4738 Wild Draw Dr
North Las Vegas, NV 89031-2899

Mailing address

4738 Wild Draw Dr
North Las Vegas, NV 89031-2899
Phone (702) 485-5256

Other practice location 1

601 S Rancho Dr
Las Vegas, NV 89106-4899
Phone (702) 437-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
208794NVMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1235010307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 WILD DRAW DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312899",
            "telephone_number": "702-485-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 WILD DRAW DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312899",
            "telephone_number": "702-485-5256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064899",
            "country_code": "US",
            "telephone_number": "702-437-4673",
            "fax_number": "702-438-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMITO",
        "first_name": "RYAN",
        "middle_name": "ALBATERA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "208794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.