Jay Yeong-Tae Gomez

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

810 SW Madison Ave
Corvallis, OR 97333-4513

Phone

(541) 390-4559

NPI assigned

Oct 27, 2025

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Benton County

  dba Benton County Children & Family Mental Health

  • Case Management Agency
  • Corvallis, OR
  • NPI 1952053522
  NPD
• Benton County

  dba Benton County Health Services

  • Federally Qualified Health Center (FQHC)
  • Corvallis, OR
  • NPI 1932161361
  NPD (past)

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1881562205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 APPLEGATE ST APT 5",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SW MADISON AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334513",
            "telephone_number": "541-390-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JAY",
        "middle_name": "YEONG-TAE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Goldsberry
• Murphy Alexander Goldsberry
• Daniel V Golletz, PH.D.
• Kimberley Wolk Golletz, PH.D.
• Danielle Gomez, M.D.
• Patricia A B Gomez, RN
• Pavan Kumar K Gona, MD
• Beau Dion Gonzales
• Mary Suzzette Gonzales, MD
• Viviana Gonzalez Fuentes

• Professional Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.