KELSEY LYN GOMEZ (NPI# 1336500446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336500446 |
| Entity Type | Individual |
| Full Name | KELSEY LYN GOMEZ |
| Practice Address |
2275 S Main St Ste 201 Corona CA 92882-5303 |
| Practice Telephone | 9512793222 |
| Practice Fax Number | 9512795222 |
| Mailing Telephone | 9512793222 |
| Mailing Fax Number | 9512795222 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
2275 S MAIN ST STE 201 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720090640 | Regina M Pinto | Psychologist | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2006-08-12 |
| 1720689474 | Nannette Hernandez | Peer Specialist | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-11-07 |
| 1982205027 | Vanessa Duarte | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-11-04 |
| 1710501697 | Brittany Lee | Peer Specialist | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-06-05 |
| 1962035592 | Ladonna Lisa Robinson | Case Manager/Care Coordinator | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-02-21 |
| 1831722784 | Marrenda Price | Case Manager/Care Coordinator | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-02-19 |
| 1407487242 | Leslie Aileen Guerrero | Case Manager/Care Coordinator | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-01-30 |
| 1982234506 | Marlena Moss | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-01-23 |
| 1790324036 | Sonia Bernice Serna-sanchez | Marriage & Family Therapist | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2020-01-03 |
| 1316580673 | Dayrin Y Diaz | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2019-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679121842 | Israel Gonzalez Cruz | Marriage & Family Therapist | 10324 Corona Ave, Corona, NY 11368-3177 | 2019-08-30 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1427551498 | Maria Del Carmen Adams | Marriage & Family Therapist | 355 E Rincon St Ste 211, Corona, CA 92879-1370 | 2018-03-15 |
| 1265974992 | Teresa Arciero | Marriage & Family Therapist | 2545 Quiet Meadow Cir, Corona, CA 92881-6610 | 2016-11-11 |
| 1669802922 | Megan Mary Pedroza | Marriage & Family Therapist | 2800 Keystone Cir, Corona, CA 92882-5989 | 2013-11-22 |
| 1366872889 | Stefanie Marie Bolio | Marriage & Family Therapist | 1451 Rimpau Ave Ste 212, Corona, CA 92879-7522 | 2013-11-19 |
| 1225465347 | Gina G Cross | Marriage & Family Therapist | 1185 Millbrook Rd, Corona, CA 92882-5851 | 2013-10-03 |
| 1376881706 | Noelle Angela Wingate | Marriage & Family Therapist | 1451 Rimpau Ave Ste 209, Corona, CA 92879-7522 | 2013-01-18 |
| 1376822999 | Stacie F Jablon | Marriage & Family Therapist | 2909 Griffin Cir, Corona, CA 92879-6100 | 2011-08-13 |
| 1528347648 | Shrinidhi S Iyengar | Marriage & Family Therapist | 3352 Deaver Dr, Corona, CA 92882-8900 | 2011-08-07 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.