Lisa Gomez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12788 Issued in AZ

Practice address

13657 W McDowell Rd Ste 209
Goodyear, AZ 85395-2603

Phone

(602) 618-8024

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 1, 2024 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Becoming Transformed LLC

  • Community/Behavioral Health Agency
  • Peoria, AZ
  • NPI 1417406661
  NPD (past) Authorized official
• Becoming Transformed LLC

  • Counselor
  • Peoria, AZ
  • NPI 1952819401
  NPD (past) Authorized official

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1396998639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17606 N 170TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853741833",
            "telephone_number": "602-618-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13657 W MCDOWELL RD STE 209",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952603",
            "telephone_number": "602-618-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "12788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tejpaal Singh Gohlwar, DMD
• Golden Age Assisted Living,LLC
• Golden Path Healthcare
• Don Aaron Goldsmith, DDS
• Hannah Golonka, MSCN
• Alyssa Gonzales
• Jose Rivas Gonzales, DDS
• Meleni D Gonzales, LPC
• Nicole R Gonzales, CNM
• Ashley Gonzalez

• Professional Counselor in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.