Individual provider Active NPI

Iliana M Geronimo-Gomez, LMFT

  • Mental Health Counselor
  • New Rochelle, NY
National Provider Identifier
1487369765
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
150 Huguenot St
New Rochelle, NY 10801-5204
Phone
(914) 613-0700
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 Primary

Addresses

Primary practice location

150 Huguenot St
New Rochelle, NY 10801-5204

Mailing address

270 N Broadway
Yonkers, NY 10701-2626
Phone (917) 569-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318000487 NY Practitioner - Marriage and Family Therapist 6002253796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center of Westchester, Inc CurrentSince Feb 5, 2024 Accepting new patients

Locations

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

150 Huguenot St
New Rochelle, NY 10801
Phone (914) 297-3495

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1487369765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012626",
            "telephone_number": "917-569-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HUGUENOT ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015204",
            "telephone_number": "914-613-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONIMO-GOMEZ",
        "first_name": "ILIANA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.