Active NPI
Guillermo Gomez Jr., LPC
- Counselor
- El Paso, TX
National Provider Identifier
1902054505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 58922
- Practice address
- 1790 N Lee Trevino Dr
El Paso, TX 79936-4545 - Phone
- (915) 355-0497
- Fax
- (915) 778-4244
- NPI assigned
- Sep 8, 2008
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 58922 | TX | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 58922 | TX |
Addresses
Primary practice location
1790 N Lee Trevino Dr
El Paso, TX 79936-4545
Mailing address
1790 Lee Trevino Blvd.
El Paso, TX 79936-4500
Phone (915) 355-0497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58922 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1902054505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 LEE TREVINO BLVD.",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364500",
"telephone_number": "915-355-0497",
"fax_number": "915-778-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 N LEE TREVINO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364545",
"telephone_number": "915-355-0497",
"fax_number": "915-778-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "GUILLERMO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "58922",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "58922",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.