Kelly Gomez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH23169 Issued in FL

Practice address

4900 W Oakland Park Blvd FL 3
Lauderdale Lakes, FL 33313-7500

Phone

(954) 327-4060

NPI assigned

Dec 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Banyan Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coral Gables, FL
  • NPI 1104247188

  FL

  Medicare reassignment NPD
• Banyan Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lauderdale Lakes, FL
  • NPI 1972979631
  NPD
• Banyan Community Health Center, Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1053728790
  NPD (past)

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1669860607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 NW 122ND TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233348",
            "telephone_number": "786-253-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 W OAKLAND PARK BLVD FL 3",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137500",
            "telephone_number": "954-327-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 SW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330604611",
            "country_code": "US",
            "telephone_number": "954-941-9828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3733 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341601",
            "country_code": "US",
            "telephone_number": "305-774-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 NW 59th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331271218",
            "country_code": "US",
            "telephone_number": "305-759-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10720 Caribbean Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331891244",
            "country_code": "US",
            "telephone_number": "786-293-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "KELLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127778000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Gibson
• Daniel Michael Gioseffi, B.A.
• Nadia Glenn
• Golden Heart Home Services
• Jacqueline I Gomez
• Good Growth Homes Inc
• Good Health Medical Rehab, Inc.
• Gothrig Healthcare Services LLC
• Bernadette Corene Gouveia Singh, LCSW
• Sayan A Graham, ARNP

• All providers in Lauderdale Lakes, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.