LUPE GOMEZ (NPI# 1518263516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518263516 |
Entity Type | Individual |
Full Name | LUPE GOMEZ |
Credential | QMHA |
Practice Address |
3325 Harold Dr Ne Salem OR 97305-1339 |
Mailing Address |
Po Box 17818 Salem OR 97305-7818 |
Practice Telephone | 5033632021 |
Enumeration Date | 2011-02-08 |
Last Update Date | 2015-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
OR | Behavioral Health & Social Service Providers | |
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
3325 HAROLD DR NE |
City | SALEM |
State | OR |
Zip Code | 97305-1339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679520787 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2006-05-27 |
1780202432 | Mary Greer | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2020-07-09 |
1992364566 | Debra Ross | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2019-06-07 |
1699338681 | Michael Sketch | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2019-04-16 |
1700352754 | Julia Humphreville | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-10-17 |
1649770884 | Justin Lee Mac | Peer Specialist | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-02-14 |
1659870996 | Donna Estelle Hoffman | Registered Nurse | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-02-01 |
1801303102 | Jeffrey Spears I | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-01-08 |
1023529138 | Marcelina Raya Bueno | Peer Specialist | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2017-10-16 |
1932628955 | Brittany A Wyas | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2017-09-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
Find all providers in zip 97305 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740899343 | Damien Miller | Student in an Organized Health Care Education/Training Program | 208 Spring Meadow Cir, Salem, IN 47167-9430 | 2020-07-29 |
1063039196 | Courtney Amber Allred | Student in an Organized Health Care Education/Training Program | 1764 N Warbler Rd, Salem, UT 84653-5761 | 2020-07-06 |
1619591872 | Maryam Cheema | Student in an Organized Health Care Education/Training Program | 1970 Roanoke Blvd Dept Of, Salem, VA 24153-6404 | 2020-06-03 |
1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
1942865001 | Cierra Elizabeth Omlor | Student in an Organized Health Care Education/Training Program | 99 Frog Ocean Rd, Salem, NJ 08079-3451 | 2019-05-04 |
1972064343 | Lauren Eary | Student in an Organized Health Care Education/Training Program | 7345 Bradshaw Rd, Salem, VA 24153-2204 | 2019-03-28 |
1780172353 | Julie Nguyen | Student in an Organized Health Care Education/Training Program | 61 Barstow St, Salem, MA 01970-2303 | 2018-04-28 |
1487163044 | Rachel Amos | Student in an Organized Health Care Education/Training Program | 31731 Carey Rd, Salem, OH 44460-9566 | 2017-09-27 |
1710406376 | Karla Angelica Flores Martinez | Student in an Organized Health Care Education/Training Program | 3717 Homestead Rd S, Salem, OR 97302-9753 | 2017-09-14 |
1457899734 | Amelia Witter | Student in an Organized Health Care Education/Training Program | 3434 Buckwood Trl, Salem, VA 24153-9035 | 2017-02-07 |
Find all providers in SALEM |
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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.