DIEGO FERNANDO GOMEZ LCAS-A
NPI 1275914111
Counselor - Mental Health in Fort Myers, FL
NPI Status: Active since June 16, 2015
Contact Information
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-6050
Fax: (239) 343-6051
- Individual
- Male
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About DIEGO GOMEZ
This page provides the complete NPI Profile along with additional information for Diego Gomez, a provider established in Fort Myers, Florida with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1275914111 assigned on June 2015. The practitioner's primary taxonomy code is 101YM0800X with license number MH14194 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1275914111
- Provider Name
- DIEGO FERNANDO GOMEZ LCAS-A
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15901 BASS RD STE 108 FORT MYERS, FL 33908
- Location Phone
- (239) 343-6050
- Location Fax
- (239) 343-6051
- Mailing Address
- PO BOX 2147 FORT MYERS, FL 33902
- Mailing Phone
- (239) 343-6050
- Mailing Fax
- (239) 343-6051
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-16-2015
- Last Update Date
- 09-03-2020
- Code Navigator
A mental health counselor like Diego Gomez provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Secondary Locations
- 229 Turner Dr
Reidsville, NC 27320
(336) 349-2233
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MH14194
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100799300 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Diego Gomez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DIEGO FERNANDO GOMEZ LCAS-A
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 9 | 1 | 4 | 1 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 18 | 1 | 8 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 8 + 1 + 8 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1275914111 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
YASMIN POUSTCHI MALI MD
Ophthalmology
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
LASHUNDA F WATKINS LCSW
Social Worker
(Clinical)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
KALEESHA BENT M.S.
Marriage & Family Therapist
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
LEE MEMORIAL HEALTH SYSTEM
Clinic/Center
(Federally Qualified Health Center (FQHC))
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
KAIYA SHANNON LCSW
Social Worker
(Clinical)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
LEE MEMORIAL HEALTH SYSTEM
Clinic/Center
(Federally Qualified Health Center (FQHC))
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
HEATHER C PITTMAN MD
Pediatrics
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
DR. JASON SABO PH.D.
Psychologist
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
DR. KRISTINA ANNE WINCHELL-BARRILE PH.D.
Psychologist
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
DR. JORGE CESAR DIAZ M.D.
Psychiatry & Neurology
(Psychiatry)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
DR. ERRIN E. PRICE PSY.D.
Psychologist
(Clinical Child & Adolescent)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
STEVEN POWELL FNP
Nurse Practitioner
(Family)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
DR. ANGELA DIGGS M.D.
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
EMILIE SY-TE M.D.
Pediatrics
(Developmental - Behavioral Pediatrics)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
MS. NATALIE SMITH WILLIAMS APRN
Nurse Practitioner
(Family)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
DR. RAYMOND ROBERT MAY PSY.D.
Psychologist
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
DR. DENISE DUTCHAK-PARMENTER M.D.
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
FRANCES SANCHEZ DUVERGE PSYD
Psychologist
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
LAURA R DESIRE LCSW
Social Worker
(Clinical)
15901 BASS RD STE 108
FORT MYERS, FL
ZIP 33908
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275914111, enumerated as an "individual" on June 16, 2015.
The provider is located at 15901 BASS RD STE 108 FORT MYERS, FL 33908 and the phone number is (239) 343-6050.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Aetna CVS Health, AvMed, Cigna Healthcare, Florida. Please consult your insurance carrier or call the provider to verify.
