Individual provider Active NPI

Eric Gomez, MS, LMFT

  • Marriage & Family Therapist
  • Las Cruces, NM
National Provider Identifier
1851686315
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0188121 Issued in NM
Practice address
2870 Quasar Dr
Las Cruces, NM 88011-1601
Phone
(206) 852-7363
NPI assigned
Jun 13, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502000881 NM Practitioner - Marriage and Family Therapist 3173963550 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0188121NMMDMarriage & Family Therapist
LF60167047WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Familia, Incorporated CurrentSince Apr 25, 2024 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Apr 25, 2024 Accepting new patients
Fulfilled Christian Counseling, LLC CurrentSince Jul 24, 2022 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.

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

Verify at the official NPI Registry.