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STEPHANIE GOMEZ LMHC, NCC
NPI 1063043487
Counselor - Mental Health in New York, NY

Active since February 04, 2020PECOS Enrolled
1199 PARK AVE, NEW YORK, NY 10128(212) 828-7473 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2024, Feb 4, 2020 (2 updates tracked since 2020).

About Stephanie Gomez Lmhc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE GOMEZ LMHC, NCC (NPI 1063043487) is an individual mental health provider in New York, New York, licensed in New York (015223) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063043487
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE GOMEZCredential: LMHC, NCC
Location Address1199 PARK AVENew York, NY 10128-1711
Mailing Address476 Hempstead AveMalverne, NY 11565-1212 · (516) 492-4774
Phone(212) 828-7473
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 4, 2020
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1063043487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 015223
1199 PARK AVE, New York, NY 10128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Gomez Lmhc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486148046
PECOS Enrollment IDI20251210004044
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aa Psychology PLLC
2.8 mi
Mental Health (Including Community Mental Health Center)
600 3RD AVE FL 2
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
NPI 1932975919 (212) 547-8861

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXINE L. GANN PSYCHOLOGIST, P.C.
Psychologist
1199 PARK AVE, SUITE 1K
NEW YORK, NY 10128
New York County (212) 860-3368
DR. DONALD ARTHUR BERGMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1199 PARK AVE, SUITE 1F
NEW YORK, NY 10128
New York County (212) 876-7333
LEONARD M. MATTES M.D., P.C.
Internal Medicine (Cardiovascular Disease)
1199 PARK AVE, SUITE 1F
NEW YORK, NY 10128
New York County (212) 876-7045
VICTORIYA SLAVICH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (212) 828-7473
IRINA NEDELCHEV
Counselor (Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (212) 828-7473
MATTHEW TILTON
Counselor (Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (212) 828-7473
BRIANNA FOPPIANO
Counselor (Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (516) 732-6773
KATELYN LEONG
Counselor (Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (914) 418-4783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Gomez's NPI number?

The NPI number for Stephanie Gomez is 1063043487. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Stephanie Gomez located?

Stephanie Gomez practices at 1199 Park Ave, New York, NY 10128. The listed phone number is (212) 828-7473.

What is Stephanie Gomez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephanie Gomez enrolled in Medicare?

Yes. Stephanie Gomez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Gomez reassigns Medicare benefits to Aa Psychology PLLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Gomez was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.