Individual provider Active NPI

Lindsay K Gomez, MH17282

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1912256504
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17282 Issued in FL
Practice address
8260 College Pkwy Ste 201
Fort Myers, FL 33919-5105
Phone
(239) 246-8774
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17282 FL Primary

Addresses

Primary practice location

8260 College Pkwy Ste 201
Fort Myers, FL 33919-5105

Mailing address

8260 College Pkwy Ste 201
Fort Myers, FL 33919-5105
Phone (239) 246-8774

Other practice location 1

8280 College Pkwy Ste 103
Fort Myers, FL 33919-5122
Phone (239) 246-8774

Other names 1

  • Miss Lindsay Kay Van Scoy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH17282FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SWFL Counseling, LLC Mental Health PastSince Jan 21, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1912256504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 COLLEGE PKWY STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195105",
            "telephone_number": "239-246-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 COLLEGE PKWY STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195105",
            "telephone_number": "239-246-8774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8280 College Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339195122",
            "country_code": "US",
            "telephone_number": "239-246-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LINDSAY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MH17282",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-09-14",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "VAN SCOY",
            "middle_name": "KAY",
            "prefix": "MISS",
            "credential": "MARRIED 2013",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.