Jessica Leavitt Gomes
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Marion, MA
NPI 1831804004 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1831804004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2318956 (MA)
- Practice address
- 156 Front St # 2
Marion, MA 02738-1501 - Phone
- (508) 748-3736
- Fax
- (508) 748-3767
- NPI assigned
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240920001413 | MA | Practitioner - Nurse Practitioner | 0446791180 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2318956 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group of Massachusetts Inc | Current |
Accepting new patients | |
| Compassionate Counseling Company | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Seahorse Behavioral, Inc. | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
4 Hartwell St
Ste 201
Fall River, MA 02721
Phone (774) 218-5440
851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445
535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
Interoperability endpoints
- jgomes235918@brownhealth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2318956 | MA | Yes |
Addresses
Primary practice location
156 Front St # 2
Marion, MA 02738-1501
Mailing address
156 Front St # 2
Marion, MA 02738-1501
Phone (508) 748-3736
Other providers in Marion, MA
- Kinsey Igo
- Shannon Marie Karo
- Helen Keane
- Suzanne Lynch Kokkins
- Alenka Larsen
- Ellen G Lewis
- Brianne P Lienkamp
- Lisa Looney-Squire
- Sheri Lyn Lovegrove
- Susan Lunn
All providers in Marion, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.