| Mr Jose Mateo Gomez, MA, LPC, CAADC, CCS | |
|
30521 Schoenherr Rd # 200a, Warren, MI 48088-3161 | |
| (586) 275-7308 | |
| (248) 609-7472 |
| Full Name | Mr Jose Mateo Gomez |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 30521 Schoenherr Rd # 200a, Warren, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558628271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 6401018930 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mccd Fl Psychiatry Services Pa | 4880064070 | 470 |
| Entity Name | Mccd Fl Psychiatry Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230321001953 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jose Mateo Gomez, MA, LPC, CAADC, CCS 30521 Schoenherr Rd # 200a, Warren, MI 48088-3161 Ph: () - | Mr Jose Mateo Gomez, MA, LPC, CAADC, CCS 30521 Schoenherr Rd # 200a, Warren, MI 48088-3161 Ph: (586) 275-7308 |
Debra Denise Napier, LPC Counselor Medicare: Medicare Enrolled Practice Location: 31501 Bear Creek Blvd, Warren, MI 48093 Phone: 313-663-3444 Fax: 775-871-4361 | |
Dr. Jeff Lip, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14018 Edison Dr, Warren, MI 48088 Phone: 586-945-0825 | |
Dayna Kanouna, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Warren, MI 48093 Phone: 586-825-9700 | |
Mr. John David Vinson, M.A. L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8150 E. Old 13 Mile Road, Suite 100, Warren, MI 48093 Phone: 586-558-7472 Fax: 586-558-5802 | |
Melissa Savage, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12220 E 13 Mile Rd, Suite 300, Warren, MI 48093 Phone: 586-258-0206 Fax: 586-258-0201 | |
Mrs. Monica Beatrice Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30101 Hoover Rd, Warren, MI 48093 Phone: 586-558-6868 | |
Michael Andrew Perkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21760 Logue Ave, Warren, MI 48091 Phone: 734-255-0450 |