Tania Paola Gomez, MASTER'S CERTIFICATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

123378 Issued in CA

Practice address

2350 Buhne Street
Eureka, CA 95501

Phone

(707) 443-4593

NPI assigned

Feb 11, 2021

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Open Door Community Health Centers

  dba Del Norte Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Crescent City, CA
  • NPI 1497840656
  Medicare reassignment
• Community Research Foundation Inc

  dba Douglas Young Youth and Family Services

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1689897100
  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1588257489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GARDEN VIEW RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241363",
            "telephone_number": "760-815-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BUHNE STREET",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-443-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7907 Ostrow St Ste F",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921113635",
            "country_code": "US",
            "telephone_number": "858-300-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "TANIA",
        "middle_name": "PAOLA",
        "credential": "MASTER'S CERTIFICATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "123378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Gomes, OTRL
• Elizabeth Gomez
• Enrique Gomez
• Jessa Yaretzi Niqole Gomez
• Maricruz Gomez
• Melinda Gong, RD
• Daniel A Gongora, LVN
• Jennifer Marie Gonzales
• Carlos Ramon Gonzalez Bobadilla
• Oliver Jalil Gonzalez Bobadilla

• Mental Health Counselor in Eureka, CA
• Providers in Eureka, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.