Individual provider Active NPI

Elsa Erika Gomez, MA, LPC, LPCC

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1336570704
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11367 Issued in TX
Practice address
5760 W Little York Rd
Houston, TX 77091-1112
Phone
(281) 707-7359
NPI assigned
Dec 10, 2013
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2022-0809 NM
Addiction (Substance Use Disorder) Counselor 101YA0400X 11367 TX Primary

Addresses

Primary practice location

5760 W Little York Rd
Houston, TX 77091-1112

Mailing address

8461 Castner Dr TRLR 71
El Paso, TX 79907-1612
Phone (915) 478-2441

Other practice location 1

7722 Northloop
El Paso, TX 79915
Phone (915) 782-4014

Other practice location 2

750 Broadmoor Blvd NE
Suite E
Rio Rancho, NM 87124
Phone (505) 565-7949

Other identifiers 2

IdentifierTypeStateIssuer
26823772MedicaidNM
152192402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000144 TX Practitioner - Mental Health Counselor 2961844477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075

2008 S Wayside Dr
Suite 500
Houston, TX 77023-2807
Phone (281) 707-7365

3500 Little York Rd
A 5
Houston, TX 77093-3658
Phone (281) 707-7358

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CTB-2022-0809NMMDProfessional Counselor
11367TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC CurrentSince Jun 10, 2024 Accepting new patients
New Day Behavioral Health and Consulting Services, PLLC Professional Current Accepting new patients
Athena Counseling, LLC Professional CurrentSince Nov 1, 2023 Accepting new patients
Tranquil Minds Behavioral Health, LLC CurrentSince Apr 25, 2024 Accepting new patients

Locations

750 Broadmoor Blvd NE
Ste E
Rio Rancho, NM 87124
Phone (505) 306-4060

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

5760 W Little York Rd
Houston, TX 77091
Phone (281) 707-7359

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1336570704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 CASTNER DR TRLR 71",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071612",
            "telephone_number": "915-478-2441",
            "fax_number": "915-850-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 W LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770911112",
            "telephone_number": "281-707-7359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7722 Northloop",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79915",
            "country_code": "US",
            "telephone_number": "915-782-4014",
            "fax_number": "915-850-0249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Broadmoor Blvd NE",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "87124",
            "country_code": "US",
            "telephone_number": "505-565-7949",
            "fax_number": "877-440-8944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ELSA",
        "middle_name": "ERIKA",
        "credential": "MA, LPC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0809",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26823772",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152192402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.