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MR. JORGE MARTIN GAMA LPC-INTERN
NPI 1740590256
Counselor - Professional in River Oaks, TX

Active since October 18, 2010Opted out of Medicare · through Jul 6, 2028
920 ROBERTS CUT OFF RD STE A, RIVER OAKS, TX 76114(817) 624-1222(817) 624-1213 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Jorge Martin Gama Lpc-intern NPPES

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

MR. JORGE MARTIN GAMA LPC-INTERN (NPI 1740590256) is an individual professional provider in River Oaks, Texas, licensed in Texas (66334) and active in the NPI registry since October 2010. He has opted out of Medicare through July 6, 2028.

NPPES Registry Identity

NPI1740590256
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JORGE MARTIN GAMACredential: LPC-INTERN
Location Address920 ROBERTS CUT OFF RD STE ARiver Oaks, TX 76114-2862
Mailing Address1201 Peppermill Cir Apt 61Arlington, TX 76013-2677 · (817) 846-9112 · Fax (817) 624-1213
Phone(817) 624-1222
Fax(817) 624-1213
Sole ProprietorYes
Enumeration DateOctober 18, 2010
✔ NPI 1740590256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 66334
920 ROBERTS CUT OFF RD STE A, River Oaks, TX 76114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jorge Martin Gama Lpc-intern has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 6, 2026 through July 6, 2028.

Opt-Out Effective DateJuly 6, 2026
Opt-Out In Effect ThroughJuly 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jorge Gama's NPI number?

The NPI number for Jorge Gama is 1740590256. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Where is Jorge Gama located?

Jorge Gama practices at 920 Roberts Cut Off Rd Ste A, River Oaks, TX 76114. The listed phone number is (817) 624-1222.

What is Jorge Gama's specialty?

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

Is Jorge Gama enrolled in Medicare?

No. Jorge Gama has opted out of Medicare through July 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jorge Gama was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.