Individual provider Active NPI

Ashly Gomez-Hetherman, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1336727106
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12206-C Issued in NV
Practice address
1980 Festival Plaza Dr
Las Vegas, NV 89135-2927
Phone
(323) 205-7088
Fax
(833) 419-0181
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12206-C NV Primary
Rehabilitation Counselor 225C00000X 12206-C NV

Addresses

Primary practice location

1980 Festival Plaza Dr
Las Vegas, NV 89135-2927

Mailing address

1917 Toscanini Way
North Las Vegas, NV 89032-0650
Phone (702) 339-2928

Other practice location 1

2610 W Horizon Ridge Pkwy Ste 104
Henderson, NV 89052-2870
Phone (702) 998-0788

Other names 1

  • Ashly S Gomez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240402002108 NV Practitioner - Clinical Social Worker 0648618264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nevada, Las Vegas School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

203 S Water St
Suite 206
Henderson, NV 89015-7226
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12206-CNVMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Sep 1, 2025 Accepting new patients
Sound Mind Counseling Center, LLC Clinical CurrentSince Jan 15, 2024 Accepting new patients

Locations

203 S Water St
Ste 206
Henderson, NV 89015

1980 Festival Plaza Dr
Las Vegas, NV 89135
Phone (323) 205-7988

5580 W Flamingo Rd
Ste 107
Las Vegas, NV 89103
Phone (702) 724-3438

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1336727106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 TOSCANINI WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320650",
            "telephone_number": "702-339-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 FESTIVAL PLAZA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352927",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 W Horizon Ridge Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522870",
            "country_code": "US",
            "telephone_number": "702-998-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ-HETHERMAN",
        "first_name": "ASHLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12206-C",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NV",
            "license": "12206-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLY",
            "last_name": "GOMEZ",
            "middle_name": "S",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.