Active NPI
Monique M Gomez, LMSW
- Massage Therapist
- Tempe, AZ
National Provider Identifier
1508467200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-14892
- Practice address
- 9030 S McClintock Dr Ste 105
Tempe, AZ 85284-4553 - Phone
- (480) 427-7883
- NPI assigned
- Nov 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-16886 | AZ | |
| Massage Therapist | 225700000X | MT-14892 | AZ | Primary |
Addresses
Primary practice location
9030 S McClintock Dr Ste 105
Tempe, AZ 85284-4553
Mailing address
3923 S Willow Dr
Tempe, AZ 85282-5761
Phone (480) 331-5227
Other practice location 1
3923 S Willow Dr
Tempe, AZ 85282-5761
Phone (480) 331-5227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14892 | Other | AZ | LICENSED MASSAGE THERAPIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.goldenhandsmassageaz.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-16886 | AZ | MD | Mental Health Counselor |
| MT-14892 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1508467200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 S WILLOW DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825761",
"telephone_number": "480-331-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 S MCCLINTOCK DR STE 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852844553",
"telephone_number": "480-427-7883"
}
],
"practiceLocations": [
{
"address_1": "3923 S Willow Dr",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852825761",
"country_code": "US",
"telephone_number": "480-331-5227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "MONIQUE",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-08",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LMSW-16886",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-14892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "14892",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.goldenhandsmassageaz.com",
"affiliation": "N",
"endpointDescription": "website address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "services, contact",
"address_1": "9030 S McClintock Dr Ste 105",
"city": "Tempe",
"state": "AZ",
"country_code": "US",
"postal_code": "852844553",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.