MR. JOSE MATEO GOMEZ MA LPC CAADC CCS NPI 1558628271

NPI Information

  • NPI: 1558628271
  • Provider Name: MR. JOSE MATEO GOMEZ, MA, LPC, CAADC, CCS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30521 SCHOENHERR RD # 200A
    WARREN, MI
    ZIP 48088
  • Phone: (586) 275-7308

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NPI Details

MR. Jose Mateo Gomez, MA, LPC, CAADC, CCS is a professional counselor in Warren, MI. MR. Jose Mateo Gomez, MA, LPC, CAADC, CCS NPI is 1558628271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30521 SCHOENHERR RD # 200A
WARREN, MI
ZIP 48088-161
Phone: (586) 275-7308
Fax: (248) 609-7472

The NPI 1558628271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/19/2012 and was last updated on 12/22/2020.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessional6401018930MICHIGANYes

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: 3/30/2025

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