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KELLY GOMEZ LMHC
NPI 1669860607
Counselor - Mental Health in Lauderdale Lakes, FL

Active since December 29, 2014PECOS Enrolled
4900 W OAKLAND PARK BLVD FL 3, LAUDERDALE LAKES, FL 33313(954) 327-4060 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2025, Feb 15, 2025 (2 updates tracked since 2025).

About Kelly Gomez Lmhc NPPES

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

KELLY GOMEZ LMHC (NPI 1669860607) is an individual mental health provider in Lauderdale Lakes, Florida, licensed in Florida (MH23169) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1669860607
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY GOMEZCredential: LMHC
Location Address4900 W OAKLAND PARK BLVD FL 3Lauderdale Lakes, FL 33313-7500
Mailing Address3804 Nw 122nd TerSunrise, FL 33323-3348 · (786) 253-2590
Phone(954) 327-4060
Sole ProprietorYes
Enumeration DateDecember 29, 2014
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1669860607 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 FL · MH23169
4900 W OAKLAND PARK BLVD FL 3, Lauderdale Lakes, FL 33313
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1220 SW 2nd StPompano Beach, FL 33060-4611 · Phone (954) 941-9828
Location 23800 W Flagler StCoral Gables, FL 33134-1604 · Phone (305) 774-3600
Location 33733 W Flagler StCoral Gables, FL 33134-1601 · Phone (305) 774-3400
Location 4140 NW 59th StMiami, FL 33127-1218 · Phone (305) 759-8888
Location 53850 W Flagler StCoral Gables, FL 33134-1604 · Phone (305) 774-3300
Location 610720 Caribbean Blvd Ste 420Cutler Bay, FL 33189-1244 · Phone (786) 293-9544

Other Identifiers 1

Medicaid127778000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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 (PECOS)

Kelly Gomez Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelly Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banyan Community Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
4900 W OAKLAND PARK BLVD FL 3
Lauderdale Lakes, FL 33313
  • Reassigned Medicare billing, Florida enrollment
  • 44 clinicians in this Medicare group
NPI 1972979631 (305) 398-6100

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 5

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

LYNDA ODERA APRN
Nurse Practitioner (Family)
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (305) 398-6100
MISS SHOSHANA DAHAN LCSW
Social Worker (Clinical)
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (954) 327-4060
MRS. GLENIS FABIENNE SAINT-CYR APRN FNP-C
Nurse Practitioner (Family)
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (954) 327-4060
DR. VICKY JASMINE MARSH DO
Family Medicine
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (954) 327-4060
BANYAN COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (305) 398-6100

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 Kelly Gomez's NPI number?

The NPI number for Kelly Gomez is 1669860607. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Where is Kelly Gomez located?

Kelly Gomez practices at 4900 W Oakland Park Blvd Fl 3, Lauderdale Lakes, FL 33313. The listed phone number is (954) 327-4060.

What is Kelly Gomez's specialty?

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

Is Kelly Gomez enrolled in Medicare?

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

Which organization bills Medicare for Kelly Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gomez reassigns Medicare benefits to Banyan Community Health Center, Inc. (Lauderdale Lakes, 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 Kelly Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Gomez accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Kelly 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 Kelly Gomez was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.