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KELSEY DANIELLE LEROY GOMEZ
NPI 1457615353
Counselor - Mental Health in Roseburg, OR

Active since June 26, 2012
621 W MADRONE ST, ROSEBURG, OR 97470(541) 440-3532 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelsey Danielle Leroy Gomez NPPES

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

KELSEY DANIELLE LEROY GOMEZ (NPI 1457615353) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since June 2012. She maintains a secondary practice location in Roseburg.

NPPES Registry Identity

NPI1457615353
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELSEY DANIELLE LEROY GOMEZ
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254
Phone(541) 440-3532
Sole ProprietorNo
Enumeration DateJune 26, 2012
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1457615353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
621 W MADRONE ST, Roseburg, OR 97470
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Other Names 1

Former Name (1)Kelsey Danielle Leroy

Secondary Practice Location 1

Location 1272 NW Medical Loop, Suite CRoseburg, OR 97471-5597 · Phone (541) 440-3532 · Fax (541) 440-3554

Other Identifiers 1

Medicaid500663439OR

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.

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Kelsey Leroy Gomez's NPI number?

The NPI number for Kelsey Leroy Gomez is 1457615353. It was assigned to this individual provider in the NPPES registry on June 26, 2012. The provider is also known as Kelsey Danielle Leroy.

Where is Kelsey Leroy Gomez located?

Kelsey Leroy Gomez practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Kelsey Leroy Gomez's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelsey Leroy Gomez was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.