Yaritza Gomez-Nacht, LMHC, CRC, MS.ED, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004575-1 Issued in NY

Practice address

939 Johnson Ave
Ronkonkoma, NY 11779-6066

Phone

(631) 471-7242

Fax

(631) 471-5150

NPI assigned

Sep 21, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/77c2b089-5ae8-473f-98a4-de9173e168aa/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Association for Mental Health and Wellness Inc

  • Community/Behavioral Health Agency
  • Ronkonkoma, NY
  • NPI 1578516738
  NPD (past)

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1669780995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 JOHNSON AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796066",
            "telephone_number": "631-471-7242",
            "fax_number": "631-471-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 JOHNSON AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796066",
            "telephone_number": "631-471-7242",
            "fax_number": "631-471-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-NACHT",
        "first_name": "YARITZA",
        "credential": "LMHC, CRC, MS.ED, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004575-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda G Gleason, LPN
• Ashley Nicole Goba, CPNP-PC
• Katelyn Godden, LCSW
• Vanessa Celestine Godley
• Michelle Gomes, LMT
• Jessica Gonzalez
• Shanna Beth Gonzalez, LMSW
• Rachelle Gooden
• Michael S Gottlieb, F.N.P-BC(ANCC) M.S.N
• Marissa Elizabeth Gouskos, MS ED

• Mental Health Counselor in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.