JACQUELINE I GOMEZ
NPI 1497197289
Counselor - Mental Health in Lauderdale Lakes, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since July 23, 2013

4720 N STATE ROAD 7 BLDG B, LAUDERDALE LAKES, FL 33319(954) 463-0911(954) 497-3857 Get Directions Write a Review

NPPES record last updated: November 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacqueline I Gomez NPPES

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

JACQUELINE I GOMEZ (NPI 1497197289) is an individual mental health provider in Lauderdale Lakes, Florida, licensed in Florida (IMH9585) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1497197289

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACQUELINE I GOMEZ

Location Address4720 N STATE ROAD 7 BLDG BLauderdale Lakes, FL 33319-5860

Mailing Address4740 N State Road 7Lauderdale Lakes, FL 33319-5839 · (954) 486-4005 · Fax (954) 497-3857

Phone(954) 463-0911

Fax(954) 497-3857

Sole ProprietorNo

Enumeration DateJuly 23, 2013

Last NPPES UpdateNovember 8, 2017

✔ NPI 1497197289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · IMH9585✔ Licensed in FL · MH12224

4720 N STATE ROAD 7 BLDG B, Lauderdale Lakes, FL 33319

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›