Individual provider Active NPI

Cecilia Gomez

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1588046577
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74445 Issued in TX
Practice address
1601 Haskell St
Austin, TX 78702-5415
Phone
(512) 414-3243
NPI assigned
Jun 25, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13064 TX
Professional Counselor 101YP2500X 74445 TX Primary

Addresses

Primary practice location

1601 Haskell St
Austin, TX 78702-5415

Mailing address

1430 Collier St
Austin, TX 78704-2911
Phone (512) 445-7787

Other practice location 1

1901 Dutton Dr
Suite E
San Marcos, TX 78666-7573
Phone (512) 396-7695 ext. 208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1505 S Main St
Lockhart, TX 78644-3945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13064TXMDProfessional Counselor
74445TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Treebrook Counseling CurrentSince Jan 8, 2024 Accepting new patients
Hays Caldwell Council on Alcohol and Drugs Addiction (Substance Use Disorder) Past Accepting new patients

Locations

1505 S Main St
Lockhart, TX 78644
Phone (512) 217-5076

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1588046577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-445-7787",
            "fax_number": "512-440-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HASKELL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025415",
            "telephone_number": "512-414-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Dutton Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667573",
            "country_code": "US",
            "telephone_number": "512-396-7695 x208",
            "fax_number": "512-396-7633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CECILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13064",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.