Individual provider Active NPI

Ruben Gomez, MA, LPC

  • Counselor
  • Frisco, TX
National Provider Identifier
1366009565
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
69798 Issued in TX
Practice address
3550 Parkwood Blvd Ste 401
Frisco, TX 75034-1905
Phone
(214) 477-3913
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 69798 TX Primary

Addresses

Primary practice location

3550 Parkwood Blvd Ste 401
Frisco, TX 75034-1905

Mailing address

1081 Echo Bend CT
Frisco, TX 75036-3935
Phone (214) 477-3913

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
69798TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gomez Counseling, LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

3550 Parkwood Blvd
Ste 401
Frisco, TX 75034
Phone (214) 906-0113

5801 W Plano Pkwy
Plano, TX 75093
Phone (214) 291-8031

Organizations & group practices 1

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1366009565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 ECHO BEND CT",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363935",
            "telephone_number": "214-477-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD STE 401",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341905",
            "telephone_number": "214-477-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "RUBEN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "69798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.