Individual provider Active NPI

Corina Alexandra Gomez Leon

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1437859550
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21846 Issued in FL
Practice address
2755 W Atlantic Ave Apt A103
Delray Beach, FL 33445-4462
Phone
(305) 407-0399
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21846 FL Primary

Addresses

Primary practice location

2755 W Atlantic Ave Apt A103
Delray Beach, FL 33445-4462

Mailing address

2755 W Atlantic Ave Apt A103
Delray Beach, FL 33445-4462
Phone (305) 407-0399

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
MH21846FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437859550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 W ATLANTIC AVE APT A103",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454462",
            "telephone_number": "305-407-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 W ATLANTIC AVE APT A103",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454462",
            "telephone_number": "305-407-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ LEON",
        "first_name": "CORINA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.