Individual provider Active NPI

Monique M Gomez, LMSW

  • Massage Therapist
  • Tempe, AZ
National Provider Identifier
1508467200
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-14892 Issued in AZ
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

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14892OtherAZLICENSED MASSAGE THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
LMSW-16886AZMDMental Health Counselor
MT-14892AZMDMassage 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.

Verify at the official NPI Registry.