Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jose Mateo Gomez, MA, LPC, CAADC, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1558628271

Mr. Jose Mateo Gomez, MA, LPC, CAADC, CCS is a Mental Health Counselor in Warren, Michigan. Qualified in 2012, 14 years ago. Practices with Mccd Fl Psychiatry Services PA, a 729-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

30521 Schoenherr Rd # 200A
Warren, MI 48088-3161
Phone: (586) 275-7308
Fax: (248) 609-7472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401018930 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1558628271
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC , CAADC , CCS
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice McCd Fl Psychiatry Services Pa — 729 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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