GENESIS VESSU GOMA
NPI 1073062360
Marriage & Family Therapist in Camarillo, CA

Q: What is Genesis Goma's NPI number?

The NPI number for Genesis Goma is 1073062360. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Q: What is Genesis Goma's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Genesis Goma was last updated on July 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since September 27, 2016PECOS Enrolled

500 AIRPORT WAY, CAMARILLO, CA 93010(805) 761-9626 Get Directions Write a Review

NPPES record last updated: July 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2024, Jun 4, 2021, Sep 27, 2016 (3 updates tracked since 2016).

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About Genesis Vessu Goma NPPES

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

GENESIS VESSU GOMA (NPI 1073062360) is an individual marriage & family therapist in Camarillo, California, licensed in California (130633) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073062360

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameGENESIS VESSU GOMA

Location Address500 AIRPORT WAYCamarillo, CA 93010-8500

Mailing Address500 Airport WayCamarillo, CA 93010-8500 · (805) 761-9626

Phone(805) 761-9626

Sole ProprietorNo

Enumeration DateSeptember 27, 2016

Last NPPES UpdateJuly 14, 20243 updates tracked since enumeration

NPPES CertifiedJuly 14, 2024

✔ NPI 1073062360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 130633

Definition

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.

500 AIRPORT WAY, Camarillo, CA 93010

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Vessu Goma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 19

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

FAWN I. HART AMFT

Marriage & Family Therapist