Individual provider Active NPI

Julia Ga Gomez

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1346855673
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5129 Issued in KS
Practice address
1558 Hayes Drive
Mailing Address 2
Manhattan, KS 66502-6650
Phone
(785) 587-4315
Fax
(785) 587-4363
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5129 KS Primary

Addresses

Primary practice location

1558 Hayes Drive
Mailing Address 2
Manhattan, KS 66502-6650

Mailing address

PO Box 747
Manhattan, KS 66505-0747
Phone (785) 587-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200921000450 KS Practitioner - Clinical Social Worker 6305264540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5129KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Mental Health and Recovery, Inc. CurrentSince Mar 24, 2025 Accepting new patients
Astra Mental Health and Recovery, Inc. CurrentSince Mar 24, 2025 Accepting new patients

Locations

330 SW Oakley Ave
Topeka, KS 66606
Phone (785) 233-1730

2401 SW 6th Ave
Topeka, KS 66606
Phone (785) 273-2252

5401 SW 7th St
Topeka, KS 66606
Phone (785) 273-2252

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1346855673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665050747",
            "telephone_number": "785-587-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 HAYES DRIVE",
            "address_2": "MAILING ADDRESS 2",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026650",
            "telephone_number": "785-587-4315",
            "fax_number": "785-587-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JULIA",
        "middle_name": "GA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.