ANNEMARIE LEOS-GOMEZ
NPI 1417372897
Marriage & Family Therapist in Los Angeles, CA
About Annemarie Leos-gomez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNEMARIE LEOS-GOMEZ (NPI 1417372897) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT125469) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annemarie Leos-gomez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Annemarie Leos-gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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.
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 Annemarie Leos-gomez's NPI number?
The NPI number for Annemarie Leos-gomez is 1417372897. It was assigned to this individual provider in the NPPES registry on February 21, 2014.
Where is Annemarie Leos-gomez located?
Annemarie Leos-gomez practices at 1125 W 6th St Suite 103, Los Angeles, CA 90017. The listed phone number is (213) 202-3970.
What is Annemarie Leos-gomez's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Annemarie Leos-gomez enrolled in Medicare?
Yes. Annemarie Leos-gomez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Annemarie Leos-gomez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annemarie Leos-gomez reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Annemarie Leos-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 Annemarie Leos-gomez was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Annemarie Leos-Gomez · NPI 1417372897
Marriage & Family Therapist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 21, 2014.
## Identity
- **NPI:** 1417372897 (Entity type: Individual)
- **Enumerated:** February 21, 2014
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT125469 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1125 W 6TH ST, SUITE 103, Los Angeles, CA 90017-1833
- **Phone:** (213) 202-3970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1417372897) · Data from the CMS NPPES public registry.