Individual provider Active NPI

Erika Jeannette Riobo Gomez, LPC

  • Counselor
  • West Allis, WI
National Provider Identifier
1750907846
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5568-125 Issued in WI
Practice address
2363 S 102ND St Ste 303
West Allis, WI 53227-2143
Phone
(414) 204-5174
Fax
(414) 888-6909
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5568-125 WI Primary

Addresses

Primary practice location

2363 S 102ND St Ste 303
West Allis, WI 53227-2143

Mailing address

2363 S 102ND St Ste 303
West Allis, WI 53227-2143
Phone (414) 204-5174

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5568-125WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Mindful Psychotherapy Creciendo Plenamente, LLC CurrentSince Apr 6, 2023 Accepting new patients

Locations

2363 S 102nd St
Ste 303
West Allis, WI 53227
Phone (414) 204-5174

Interoperability endpoints

  • Direct secure messaging: catholiccharities.erikariobo-gomez@124096.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1750907846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 S 102ND ST STE 303",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272143",
            "telephone_number": "414-204-5174",
            "fax_number": "414-888-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 S 102ND ST STE 303",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272143",
            "telephone_number": "414-204-5174",
            "fax_number": "414-888-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOBO GOMEZ",
        "first_name": "ERIKA",
        "middle_name": "JEANNETTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5568-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.