Active NPI
Joseph E Gomes, M.S.
- Mental Health Counselor
- Kaneohe, HI
National Provider Identifier
1366594616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC-143
- Practice address
- 45-850 Luana PL Apt D
Kaneohe, HI 96744-3466 - Phone
- (808) 979-1712
- NPI assigned
- Jan 17, 2007
- Last updated
- Sep 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC-143 | HI | Primary |
Addresses
Primary practice location
45-850 Luana PL Apt D
Kaneohe, HI 96744-3466
Mailing address
86-226 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 696-4211
Other practice location 1
86-226 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 696-4211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000596734 | Other | HI | HMSA QUEST |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC-143 | HI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anonui Health & Wellness Hawaii LLC | Mental Health | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Kaneohe, HI
- NPI 1336863877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1366594616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86-226 FARRINGTON HWY",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923128",
"telephone_number": "808-696-4211",
"fax_number": "808-696-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-850 LUANA PL APT D",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443466",
"telephone_number": "808-979-1712"
}
],
"practiceLocations": [
{
"address_1": "86-226 Farrington Hwy",
"address_purpose": "LOCATION",
"city": "Waianae",
"state": "HI",
"postal_code": "967923128",
"country_code": "US",
"telephone_number": "808-696-4211",
"fax_number": "808-696-5516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMES",
"first_name": "JOSEPH",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "MHC-143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA QUEST",
"identifier": "0000596734",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.