Individual provider Active NPI

Geraldine A. Gomez, LPC-S, ATR-BC

  • Professional Counselor
  • Richmond, TX
National Provider Identifier
1356858302
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74350 Issued in TX
Practice address
10401 S Mason Rd
Richmond, TX 77406-5885
Phone
(346) 758-1812
NPI assigned
Dec 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 74350 TX
Professional Counselor 101YP2500X 74350 TX Primary

Addresses

Primary practice location

10401 S Mason Rd
Richmond, TX 77406-5885

Mailing address

10401 S Mason Rd
Richmond, TX 77406-5885
Phone (346) 758-1812

Other practice location 1

6700 Bellaire Blvd
Houston, TX 77074-4906
Phone (832) 548-5000

Other practice location 2

5402 Lawndale St
Houston, TX 77023-3743
Phone (832) 548-5000

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

State licenses

LicenseStateTypeSpecialty
74350TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1356858302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 S MASON RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065885",
            "telephone_number": "346-758-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 S MASON RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065885",
            "telephone_number": "346-758-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Bellaire Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770744906",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "fax_number": "713-351-7361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5402 Lawndale St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770233743",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "fax_number": "713-351-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GERALDINE",
        "middle_name": "A.",
        "credential": "LPC-S, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74350",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.