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ELIZABETH ANNE GOMEZ AMFT
NPI 1396239810
Marriage & Family Therapist in Fullerton, CA

Active since June 18, 2018PECOS Enrolled
1513 E CHAPMAN AVE, FULLERTON, CA 92831(714) 526-4673 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Anne Gomez Amft NPPES

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

ELIZABETH ANNE GOMEZ AMFT (NPI 1396239810) is an individual marriage & family therapist in Fullerton, California, licensed in California (99092) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396239810
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELIZABETH ANNE GOMEZCredential: AMFT
Location Address1513 E CHAPMAN AVEFullerton, CA 92831-4013
Mailing Address1513 E Chapman AveFullerton, CA 92831-4013 · (714) 526-4673
Phone(714) 526-4673
Sole ProprietorNo
Enumeration DateJune 18, 2018
✔ NPI 1396239810 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 · 99092
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.
1513 E CHAPMAN AVE, Fullerton, CA 92831
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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)

Elizabeth Anne Gomez Amft 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 Reassignment

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

County Of Riverside
19 mi
Community/Behavioral Health
2813 S MAIN ST FL 2
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 336 clinicians in this Medicare group
NPI 1205090453 (951) 738-2400

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 10

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

ANGIE EUNJI KIM
Marriage & Family Therapist
1513 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 526-4673
STEPHANIE MICHELLE GRAHAM AMFT
Counselor (Mental Health)
1513 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 526-4673
MATTHEW DRYER
Marriage & Family Therapist
1513 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 526-4673
ATLAS PSYCHOLOGICAL FAMILY COUNSELING & WELLNESS SERVICES, INC.
Marriage & Family Therapist
1513 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 526-4673
MS. JAMILA AKKOUCHE MS
Counselor (Professional)
1513 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 526-4673
MISS CAROLINE ISCOVITZ
Marriage & Family Therapist
1513 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 526-4673
JENNIFER CHIN
Marriage & Family Therapist
1513 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 526-4673
CYNTHIA ANN ESQUIVEL-RADDATZ MFTI
Psychologist (Counseling)
1513 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 526-4673

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 Elizabeth Gomez's NPI number?

The NPI number for Elizabeth Gomez is 1396239810. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Elizabeth Gomez located?

Elizabeth Gomez practices at 1513 E Chapman Ave, Fullerton, CA 92831. The listed phone number is (714) 526-4673.

What is Elizabeth Gomez's specialty?

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

Is Elizabeth Gomez enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Gomez reassigns Medicare benefits to County Of Riverside (Corona, CA). 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 Elizabeth 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 Elizabeth Gomez was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.