RAFAEL GOMEZ


Address: 625 W Washington Ave, Madison, WI 53703-2637
Phone: 6082802700

RAFAEL GOMEZ (NPI# 1326256132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326256132
Entity Type Individual
Full Name RAFAEL GOMEZ
Credential MA
Practice Address 625 W Washington Ave
Madison
WI 53703-2637
Practice Telephone 6082802700
Enumeration Date 2007-05-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39606400 05

Other Providers RAFAEL GOMEZ

NPI Name Taxonomy Address Enumeration
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1811134216 Rafael Eligio Gomez Jr. Internal Medicine 1222 Molokai Rd, Jacksonville, FL 32216-3276 2009-01-07
1609972751 Rafael T. Gomez Psychiatry & Neurology 1200 Ne 55th Boulevard, Nfetc, Gainesville, FL 32641-2759 2006-09-16
1841646619 Rafael Gomez Counselor 1721 Griffin Ave, Los Angeles, CA 90031-3312 2016-05-10
1902115439 Rafael Amaya Gomez Counselor 3002 Armstrong St, San Diego, CA 92111-5702 2010-10-01
1447207923 Rafael Gomez Emergency Medicine 311 Morrow St N, Mena, AR 71953-2516 2006-05-28

Office Location

Street Address 625 W WASHINGTON AVE
City MADISON
State WI
Zip Code 53703-2637

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396798914 Jantina R Vonk Psychiatry & Neurology 625 W Washington Ave, Madison, WI 53703-2637 2006-05-17
1982057428 Christen Leigh Starke Counselor 625 W Washington Ave, Madison, WI 53703-2637 2016-07-20
1740633726 Emre Umucu Counselor 625 W Washington Ave, Madison, WI 53703-2637 2016-07-14
1215387162 Anne-marie Kiera' Westenberg Counselor 625 W Washington Ave, Madison, WI 53703-2637 2016-06-21
1023466554 Laurinda S Wittenhagen Social Worker 625 W Washington Ave, Madison, WI 53703-2637 2016-05-25
1215385737 Dechen Wangmo Counselor 625 W Washington Ave, Madison, WI 53703-2637 2016-05-25
1407202179 Kelsey Telega Counselor 625 W Washington Ave, Madison, WI 53703-2637 2016-05-11
1629423645 Jacob Salwolke Counselor 625 W Washington Ave, Madison, WI 53703-2637 2016-04-27
1801241823 Amanda Terrinoni Counselor 625 W Washington Ave, Madison, WI 53703-2637 2016-04-27
1316306632 Justin Burton Counselor 625 W Washington Ave, Madison, WI 53703-2637 2016-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689291254 Lynne's Moc, LLC Optometrist 512 State Street, Madison, WI 53703 2020-06-30
1407327844 Deborah Ann Pape Psychologist 350 S. Hamilton St., Unit 504, Madison, WI 53703 2018-12-11
1336660216 Kevin Shuai Lian Radiology 420 W Dayton St Unit 1142, Madison, WI 53703 2017-06-30
1295279461 Colin T Graney Podiatrist 664 W. Washington Ave, Madison, WI 53703 2016-12-07
1093193690 Ashley Przybilla Pediatrics Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 2015-05-14
1043606841 Kevin P Emmerich Emergency Medicine 390 West Johnson St, Madison, WI 53703 2015-04-09
1376983155 Ann Renee Wingate Counselor 16 N. Hancock Street, Hancock Center, Madison, WI 53703 2013-06-26
1013269398 See Inc Optometrist 437 State St, Madison, WI 53703 2012-10-10
1518243237 Nathan Dufault Specialist/Technologist 305 S. Livingston St., Madison, WI 53703 2011-10-26
1518264142 Candice Y Lewis Health Maintenance Organization 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 2011-02-17
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

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1700411048 Kathleen M Allcox Counselor 4202 Monona Dr, Madison, WI 53716-1664 2020-03-06
1487299277 Hanging Lanes Christian Wellness Ministries and Counseling Center Counselor 650 Sun Temple Drive, Madison, AL 35758 2019-11-15
1013563717 Cynthia A Perry Counselor 104 Brickstone Pl, Madison, AL 35756-3498 2019-08-18
1285289587 Clifton Leo Davis Jr. Counselor 6417 O Dana Rd #5, Madison, WI 53719 2019-08-05
1912562687 Dedicated Solutions, LLC. Counselor 8006 Old Madison Pike Ste 20o, Madison, AL 35758-1490 2019-05-07
1063997955 Tarea Stout Counselor 213 Paxton Cv, Madison, MS 39110-8900 2018-09-26
1700374410 Susan Banks-norton Counselor 461 Capshaw Rd Nw Ste F, Madison, AL 35757-7940 2018-04-27
1720586761 Anesis Center for Marriage and Family Therapy Counselor 6409 Odana Rd Ste 14, Madison, WI 53719-1177 2018-01-24
1124545199 Synergos Counseling LLC Counselor 5250 E Terrace Dr, Madison, WI 53718-8345 2017-08-29
1194271106 Lea Angela Pearrow Counselor 1321 Cheyenne Blvd, Madison, TN 37115-5523 2016-08-30
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Competitor

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City MADISON
Zip Code 53703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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