Individual provider Active NPI

Alex Gomez, M.A., LMHC

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1902296528
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60739452 Issued in WA
Practice address
826 102ND Ave NE Ste 300
Bellevue, WA 98004-4158
Phone
(425) 200-5582
Fax
(720) 554-8065
NPI assigned
Feb 3, 2015
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
Counselor 101Y00000X 60293371 WA
Mental Health Counselor 101YM0800X LH60739452 WA Primary

Addresses

Primary practice location

826 102ND Ave NE Ste 300
Bellevue, WA 98004-4158

Mailing address

826 102ND Ave NE Ste 300
Bellevue, WA 98004-4158
Phone (425) 200-5582

Other practice location 1

1201 S Proctor St
Tacoma, WA 98405-2047
Phone (253) 396-5000

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60293371WAMDCounselor
LH60739452WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902296528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 102ND AVE NE STE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044158",
            "telephone_number": "425-200-5582",
            "fax_number": "720-554-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 102ND AVE NE STE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044158",
            "telephone_number": "425-200-5582",
            "fax_number": "720-554-8065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Proctor St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984052047",
            "country_code": "US",
            "telephone_number": "253-396-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ALEX",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60293371",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60739452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.