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MR. JOSE MATEO GOMEZ MA, LPC, CAADC, CCS
NPI 1558628271
Counselor - Professional in Warren, MI

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment
30521 SCHOENHERR RD # 200A, WARREN, MI 48088(586) 275-7308(248) 609-7472 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jose Mateo Gomez Ma, Lpc, Caadc, Ccs NPPES

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

MR. JOSE MATEO GOMEZ MA, LPC, CAADC, CCS (NPI 1558628271) is an individual professional provider in Warren, Michigan, licensed in Michigan (6401018930) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558628271
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOSE MATEO GOMEZCredential: MA, LPC, CAADC, CCS
Location Address30521 SCHOENHERR RD # 200AWarren, MI 48088-3161
Mailing Address30521 Schoenherr Rd # 200aWarren, MI 48088-3161
Phone(586) 275-7308
Fax(248) 609-7472
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 19, 2012
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1558628271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401018930
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
30521 SCHOENHERR RD # 200A, Warren, MI 48088
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 and accepts Medicare assignment

Mr. Jose Mateo Gomez Ma, Lpc, Caadc, Ccs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971024233
PECOS Enrollment IDI20250304001136
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 Jose Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mccd Fl Psychiatry Services PA
844 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Michigan enrollment
  • 28 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

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

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

JOSE M GOMEZ MA LPC CAADC CCS LLC
Counselor (Professional)
30521 SCHOENHERR RD # 200A
WARREN, MI 48088
Macomb County (248) 470-8918

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 Jose Gomez's NPI number?

The NPI number for Jose Gomez is 1558628271. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Where is Jose Gomez located?

Jose Gomez practices at 30521 Schoenherr Rd # 200A, Warren, MI 48088. The listed phone number is (586) 275-7308.

What is Jose Gomez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jose Gomez enrolled in Medicare?

Yes. Jose Gomez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jose Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Gomez reassigns Medicare benefits to Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Jose Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Gomez accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Jose 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 Jose Gomez was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.