Salena Gomez-Boulware

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3301 37TH Ave
Sacramento, CA 95824-2418

Phone

(916) 210-8773

NPI assigned

Aug 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• San Joaquin Behavioral Health Services

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1215028931

  Marriage & Family Therapist

  NPD
• La Familia Counseling Center, Inc.

  • Clinic/Center
  • Sacramento, CA
  • NPI 1447338629
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1679098776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 37TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958242418",
            "telephone_number": "916-210-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 37TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958242418",
            "telephone_number": "916-210-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-BOULWARE",
        "first_name": "SALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Gomez Camacho
• Aide Gomez Cruz
• Gabriela Gomez Delgado
• Karen Gomez Hernandez
• Jazmin Alexandra Gomez Prado
• Elizabeth Janele Gomez-Logan
• Denisse Gomez-Luna
• Carlos Eduardo Gomez-Mustafa
• Allison Gomez-Ojeda
• Michaela Gomez-Pacheco

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.