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DIEGO FERNANDO GOMEZ LCAS-A
NPI 1275914111
Counselor - Mental Health in Fort Myers, FL

Active since June 16, 2015PECOS Enrolled
15901 BASS RD STE 108, FORT MYERS, FL 33908(239) 343-6050(239) 343-6051 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2020, Nov 2, 2018 (2 updates tracked since 2018).

About Diego Fernando Gomez Lcas-a NPPES

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

DIEGO FERNANDO GOMEZ LCAS-A (NPI 1275914111) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (MH14194) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Reidsville.

NPPES Registry Identity

NPI1275914111
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDIEGO FERNANDO GOMEZCredential: LCAS-A
Location Address15901 BASS RD STE 108Fort Myers, FL 33908
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6050 · Fax (239) 343-6051
Phone(239) 343-6050
Fax(239) 343-6051
Sole ProprietorNo
Enumeration DateJune 16, 2015
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1275914111 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 FL · MH14194
15901 BASS RD STE 108, Fort Myers, FL 33908
Open in Google Maps ↗

Secondary Practice Location 1

Location 1229 Turner DrReidsville, NC 27320-5736 · Phone (336) 349-2233

Other Identifiers 1

Medicaid100799300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diego Fernando Gomez Lcas-a 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Diego Gomez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Health System Inc
0.2 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Grow Healthcare Group PA
118 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

DR. DEEPA VADUTHALAKUZHY LUKA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
DR. ERRIN E. PRICE PSY.D.
Psychologist (Clinical Child & Adolescent)
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
LEE MEMORIAL HEALTH SYSTEM
Clinic/Center (Federally Qualified Health Center (FQHC))
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
DR. RAYMOND ROBERT MAY PSY.D.
Psychologist
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
ALYSSA LEWIS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-9890
MS. NATALIE SMITH WILLIAMS APRN
Nurse Practitioner (Family)
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
DR. KRISTINA ANNE WINCHELL-BARRILE PH.D.
Psychologist
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050
KALEESHA BENT M.S.
Marriage & Family Therapist
15901 BASS RD STE 108
FORT MYERS, FL 33908
Lee County (239) 343-6050

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 Diego Gomez's NPI number?

The NPI number for Diego Gomez is 1275914111. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Diego Gomez located?

Diego Gomez practices at 15901 Bass Rd Ste 108, Fort Myers, FL 33908. The listed phone number is (239) 343-6050.

What is Diego Gomez's specialty?

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

Is Diego Gomez enrolled in Medicare?

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

Which organizations bill Medicare for Diego Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diego Gomez reassigns Medicare benefits to 2 organizations: Lee Health System Inc (Fort Myers, FL) and Grow Healthcare Group PA (Miami, FL). Each 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 Diego Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diego Gomez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Diego Gomez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diego Gomez was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.