Individual provider Active NPI

Laura Irene Mazza Gonick, LMHC

  • Mental Health Counselor
  • Belchertown, MA
National Provider Identifier
1063653418
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6932 Issued in MA
Practice address
16 Old Bay Rd
Belchertown, MA 01007-9709
Phone
(413) 530-4174
NPI assigned
Mar 16, 2009
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6932 MA Primary

Addresses

Primary practice location

16 Old Bay Rd
Belchertown, MA 01007-9709

Mailing address

16 Old Bay Rd
Belchertown, MA 01007-9709
Phone (413) 530-4174

Other practice location 1

319 Beech St
Holyoke, MA 01040-3925
Phone (413) 540-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1063653418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OLD BAY RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079709",
            "telephone_number": "413-530-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OLD BAY RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079709",
            "telephone_number": "413-530-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Beech St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010403925",
            "country_code": "US",
            "telephone_number": "413-540-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONICK",
        "first_name": "LAURA",
        "middle_name": "IRENE MAZZA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belchertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.