Active NPI
Ysabel C Gomez, COUNSELOR
- Counselor
- Springfield, MA
National Provider Identifier
1932511292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 120 Maple St
Springfield, MA 01103-2203 - Phone
- (413) 846-0445
- NPI assigned
- May 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
120 Maple St
Springfield, MA 01103-2203
Mailing address
100 Barber Ave
Worcester, MA 01606-2203
Phone (978) 990-6060
Other practice location 1
100 Barber Ave
Worcester, MA 01606-2464
Phone (978) 990-6060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303295 | Medicaid | MA | |
| M18463 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1307576 | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ysabel Gomez Clinical Services LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1689158545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1932511292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BARBER AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062203",
"telephone_number": "978-990-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MAPLE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032203",
"telephone_number": "413-846-0445"
}
],
"practiceLocations": [
{
"address_1": "100 Barber Ave",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016062464",
"country_code": "US",
"telephone_number": "978-990-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "YSABEL",
"middle_name": "C",
"credential": "COUNSELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303295",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M18463",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1307576",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.