Ethel H Gomez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71136 Issued in TX

Practice address

119 E Academy St
Del Rio, TX 78840-6072

Phone

(830) 422-3305

Fax

(830) 422-3305

NPI assigned

Jan 15, 2016

Last updated

Nov 16, 2023By the provider in NPPES

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

Other names 1

• Ethel Hernandez Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Medical CentersGroup PAC ID 7618957135, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethel.gomez.p1@direct.umchealth.nextgenshare.com

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.

• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1710980669

  Professional

  Medicare reassignment Care Compare group NPD
• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1295525012
  NPD

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1497112841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E ACADEMY ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788406072",
            "telephone_number": "830-422-3305",
            "fax_number": "830-422-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Meandering Way",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788402523",
            "country_code": "US",
            "telephone_number": "830-734-4171",
            "fax_number": "830-774-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W Cantu Rd",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788403056",
            "country_code": "US",
            "telephone_number": "830-461-4731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Cantu Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788403093",
            "country_code": "US",
            "telephone_number": "830-734-4171",
            "fax_number": "830-282-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ETHEL",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETHEL",
            "last_name": "HERNANDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lori Ann Garza, RBT
• Misty Williams Garza, OTA
• Elaine Renee Gattenby, DPT
• Ge Wiese Dba
• Heather Gibbs, COTA
• Lisa Ann Gomez, APRN-CNP
• Patricia Garcia Gomez, FNP
• Romina Mariana Gonzalez Flores
• Mayra Lynn Gonzalez, FNP
• Goodnight Sleep Center

• Professional Counselor in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.