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TANIA PAOLA GOMEZ MASTER'S CERTIFICATE
NPI 1588257489
Counselor - Mental Health in Eureka, CA

Active since February 11, 2021PECOS Enrolled
2350 BUHNE STREET, EUREKA, CA 95501(707) 443-4593 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 17, 2024, Feb 11, 2021 (2 updates tracked since 2021).

About Tania Paola Gomez Master's Certificate NPPES

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

TANIA PAOLA GOMEZ MASTER'S CERTIFICATE (NPI 1588257489) is an individual mental health provider in Eureka, California, licensed in California (123378) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1588257489
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANIA PAOLA GOMEZCredential: MASTER'S CERTIFICATE
Location Address2350 BUHNE STREETEureka, CA 95501
Mailing Address1100 Garden View RdEncinitas, CA 92024-1363 · (760) 815-3460
Phone(707) 443-4593
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 11, 2021
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1588257489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 123378
2350 BUHNE STREET, Eureka, CA 95501
Open in Google Maps ↗

Secondary Practice Location 1

Location 17907 Ostrow St Ste FSan Diego, CA 92111-3635 · Phone (858) 300-8282

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tania Paola Gomez Master's Certificate is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113402116
PECOS Enrollment IDI20260327002064
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 Tania Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Door Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
2350 BUHNE ST
Eureka, CA 95501
  • Reassigned Medicare billing, California enrollment
  • 175 clinicians in this Medicare group
NPI 1417474966 (707) 443-4593

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tania Gomez's NPI number?

The NPI number for Tania Gomez is 1588257489. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Tania Gomez located?

Tania Gomez practices at 2350 Buhne Street, Eureka, CA 95501. The listed phone number is (707) 443-4593.

What is Tania Gomez's specialty?

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

Is Tania Gomez enrolled in Medicare?

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

Which organization bills Medicare for Tania Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tania Gomez reassigns Medicare benefits to Open Door Community Health Centers (Eureka, 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 Tania 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 Tania Gomez was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.