JACQUELINE I GOMEZ NPI 1497197289

NPI Information

NPI: 1497197289
Provider Name: JACQUELINE I GOMEZ
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL
ZIP 33319
Phone: (954) 463-0911
Get Directions

Jacqueline I Gomez is a mental health counselor in Lauderdale Lakes, FL. Jacqueline I Gomez NPI is 1497197289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL
ZIP 33319-860
Phone: (954) 463-0911
Fax: (954) 497-3857

The enumeration date for this NPI number is 7/23/2013 and was last updated on 11/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH12224	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	IMH9585	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »