Jennifer Pamela Veliz-Gomez, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21591 Issued in NC

Practice address

111 Kilson Dr Ste 201
Mooresville, NC 28117-8218

Phone

(704) 664-1009

NPI assigned

Jun 18, 2025

Sex

Female

Sole proprietor

Yes

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

State licenses

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 and National Provider Directory roles.

• Miracles Healing Centers Inc

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1962597732
  NPD
• Wellcomemd NC Clinic PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1013525278
  NPD

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1932096583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 CEDAR FALL DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787832",
            "telephone_number": "704-905-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KILSON DR STE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178218",
            "telephone_number": "704-664-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5641 Poplar Tent Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280277588",
            "country_code": "US",
            "telephone_number": "704-317-5720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELIZ-GOMEZ",
        "first_name": "JENNIFER",
        "middle_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Vaughan
• Paul D. Veach, LMFT, LCAS
• Richard J Vecellio, PA-C
• Amy Vega
• Kristen Flanagan Vehec, M.A. CCC-SLP
• Kwency Verity
• Christine Verolme
• Delia Vicidomini, LCMHCA
• Village Animal Hospital, PA
• Taylor Brianna Vinson, LCMHC

• Mental Health Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.