Active NPI
Eric Gomez, MS, LMFT
- Marriage & Family Therapist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0188121
- Practice address
- 2870 Quasar Dr
Las Cruces, NM 88011-1601 - Phone
- (206) 852-7363
- NPI assigned
- Jun 13, 2011
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60167047 | WA | |
| Marriage & Family Therapist | 106H00000X | 0188121 | NM | Primary |
Addresses
Primary practice location
2870 Quasar Dr
Las Cruces, NM 88011-1601
Mailing address
2870 Quasar Dr
Las Cruces, NM 88011-1601
Phone (206) 852-7363
Other practice location 1
2722 Colby Ave Ste 625
Everett, WA 98201-3534
Phone (206) 852-7363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
385 Calle de Alegra
Suite a
Las Cruces, NM 88005-3417
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0188121 | NM | MD | Marriage & Family Therapist |
| LF60167047 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| Fulfilled Christian Counseling, LLC | Current | Accepting new patients |
Locations
826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135
385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444
535 S Miranda St
Las Cruces, NM 88005
760 N Motel Blvd
Ste Ac
Las Cruces, NM 88007
Organizations & group practices 4
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.
-
dba La Clinica De Familia Central Medical
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1528424397
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Cruces, NM
- NPI 1821585852
-
dba Mayfield High School Base
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1134917040
-
dba Centennial School Base
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1639553928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851686315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 QUASAR DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880111601",
"telephone_number": "206-852-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2870 QUASAR DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880111601",
"telephone_number": "206-852-7363"
}
],
"practiceLocations": [
{
"address_1": "2722 Colby Ave Ste 625",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982013534",
"country_code": "US",
"telephone_number": "206-852-7363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60167047",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0188121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.