Kathleen Mary Gomes, MS, CAS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Shallotte, NC
NPI 1891844486 · NPPES record last updated Sep 21, 2012
Key facts
- NPI
- 1891844486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 349 (NC)
- Practice address
- 120 Coastal Horizons Dr
Shallotte, NC 28470-6094 - Phone
- (910) 754-4515
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3928 | NC | MD | Mental Health Counselor |
| 000227 | CT | MD | Clinical Social Worker |
| 930 | NC | MD | Marriage & Family Therapist |
| 349 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palms Health and Wellness,LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 349 | NC | Yes |
| Mental Health Counselor | 101YM0800X | S3928 | NC | |
| Marriage & Family Therapist | 106H00000X | 930 | NC | |
| Marriage & Family Therapist | 106H00000X | 000227 | CT |
Addresses
Primary practice location
120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Mailing address
1919 Stone Ballast Way
Ocean Isle Beach, NC 28469
Phone (910) 754-3782
Other providers in Shallotte, NC
- Marshall Bruce Garris
- Geeson, Rooks & Associates DDS II PA
- Genoa Healthcare LLC
- Parth Suresh Ghatalia
- Rebecca Sherrill Godbold
- Janisha Gore
- Meagan A Gore
- Marlon Anthony Graham
- Amanda Green
- Tia Green
All providers in Shallotte, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.