CARMEN T GOMEZ-JEFFREY MA, LPCC-ATR
NPI 1194024844
Counselor in Mentor, OH

Q: What is Carmen Gomez-jeffrey's NPI number?

The NPI number for Carmen Gomez-jeffrey is 1194024844. It was assigned to this individual provider in the NPPES registry on March 21, 2011. The provider is also known as Carmen Teresa Gomez.

Q: What is Carmen Gomez-jeffrey's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since March 21, 2011PECOS Enrolled

7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2021, Jul 28, 2021, Mar 23, 2016 (3 updates tracked since 2016).

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About Carmen T Gomez-jeffrey Ma, Lpcc-atr NPPES

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

CARMEN T GOMEZ-JEFFREY MA, LPCC-ATR (NPI 1194024844) is an individual counselor in Mentor, Ohio, licensed in Ohio (E.0500338-SUPV) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194024844

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCARMEN T GOMEZ-JEFFREYCredential: MA, LPCC-ATR

Location Address7232 JUSTIN WAYMentor, OH 44060-4881

Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200

Phone(440) 578-8200

Sole ProprietorYes

Enumeration DateMarch 21, 2011

Last NPPES UpdateMarch 25, 20243 updates tracked since enumeration

NPPES CertifiedMarch 25, 2024

✔ NPI 1194024844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · E.0500338-SUPV

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E.0500338 (OH)

7232 JUSTIN WAY, Mentor, OH 44060

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Other Names 1

Former Name (1)Carmen Teresa Gomez

Other Identifiers 1

Medicaid0213333OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen T Gomez-jeffrey Ma, Lpcc-atr 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 20

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

DR. TIFFANY JONES M.D.

Psychiatry & Neurology (Psychiatry)