Individual provider Active NPI

Jacob Gomez

  • Counselor
  • Helotes, TX
National Provider Identifier
1427745512
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
88504 Issued in TX
Practice address
12274 Bandera Rd Ste 120
Helotes, TX 78023-4386
Phone
(210) 530-1180
Fax
(210) 201-1190
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 88504 TX Primary

Addresses

Primary practice location

12274 Bandera Rd Ste 120
Helotes, TX 78023-4386

Mailing address

12790 FM 1560 N Unit 680
Helotes, TX 78023-2229
Phone (210) 530-1180

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
88504TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Hernandez and Associates PLLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

12790 FM 1560 N
Unit 680
Helotes, TX 78023
Phone (210) 530-1180

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1427745512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12790 FM 1560 N UNIT 680",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780232229",
            "telephone_number": "210-530-1180",
            "fax_number": "210-201-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12274 BANDERA RD STE 120",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234386",
            "telephone_number": "210-530-1180",
            "fax_number": "210-201-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "88504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.