Active NPI
Bannia Bianney Gomez
- Mental Health Counselor
- Lancaster, CA
National Provider Identifier
1235470774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 44738 10TH St W
Lancaster, CA 93534-3016 - Phone
- (661) 977-6644
- NPI assigned
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
44738 10TH St W
Lancaster, CA 93534-3016
Mailing address
PO Box 611
Lancaster, CA 93584-0611
Phone (626) 494-0744
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chcada/Enhanced Specialized Foster Care Mental HLTH Services | Past | Accepting new patients | |
| California Hispanic Commission a & D Abuse | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Pico Rivera, CA
- NPI 1902055163
-
- Community/Behavioral Health Agency
- Pico Rivera, CA
- NPI 1588860910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1235470774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 611",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935840611",
"telephone_number": "626-494-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44738 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343016",
"telephone_number": "661-977-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "BANNIA",
"middle_name": "BIANNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.