Mily Gomez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-16637 Issued in AZ

Practice address

281 W 24TH St Ste 139
Yuma, AZ 85364-8500

Phone

(928) 247-6430

NPI assigned

Apr 19, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Latibule Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yuma, AZ
  • NPI 1699262717
  NPD (past) Authorized official
• Desert Counseling & Recovery Services

  • Community/Behavioral Health Agency
  • Yuma, AZ
  • NPI 1164765350
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1801320650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 W 22ND PL UNIT B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647621",
            "telephone_number": "928-247-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 W 24TH ST STE 139",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648500",
            "telephone_number": "928-247-6430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3970 W 24th St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853649255",
            "country_code": "US",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MILY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Dawn Glover-Danque, O.D.
• Stamatia Fissas Gockel, DO
• Mayank Gogna, MD
• Brenda Gomez, MA LPC
• Marsha Gomez
• Valerie Jo-Ann Gomez, F.N.P.
• Katherine Marie Gompert, DNP, FNP
• Devon Marie Gomperts, APRN, FNP-C
• Venkatesh Gondhi, MD
• Gonzales Medical Clinic P C

• Professional Counselor in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.