Active NPI
Xavier Gomez
- Mental Health Counselor
- Forest Hills, NY
National Provider Identifier
1306644380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10235 65TH Rd Ste 6F
Forest Hills, NY 11375-1740 - Phone
- (347) 463-8066
- NPI assigned
- Mar 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NY | Primary |
Addresses
Primary practice location
10235 65TH Rd Ste 6F
Forest Hills, NY 11375-1740
Mailing address
120 Malcom X Blvd
Brooklyn, NY 11221
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1306644380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MALCOM X BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10235 65TH RD STE 6F",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751740",
"telephone_number": "347-463-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "XAVIER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.