Lakisha Gomez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16693 Issued in FL

Practice address

11260 Ranch Creek Ter Apt 112
Bradenton, FL 34211-4032

Phone

(786) 287-6899

NPI assigned

Sep 23, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1770134637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306008",
            "telephone_number": "788-628-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 RANCH CREEK TER APT 112",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114032",
            "telephone_number": "786-287-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337111239",
            "country_code": "US",
            "telephone_number": "727-327-7656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2188 58th St N",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337603112",
            "country_code": "US",
            "telephone_number": "727-327-7656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 N Krome Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330306008",
            "country_code": "US",
            "telephone_number": "788-628-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LAKISHA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lakisha.gomez@evolvinglives.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 N Krome Ave",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330306008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley E Goldstein, D.O., M.P.H., M.S.
• Alessandro Golino, M.D.
• Michael Golpanian
• Yelena Golubeva, N.P.
• Elizabeth Juventa Goman, MD
• Leslie Anne Gomez, D.O.
• Xenia Gomez
• John Christopher Goncalves, DO
• Lisbet Yamel Gongora
• Gladys Gonzalez Reyes, MSN, FNP

• Mental Health Counselor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.