Eric Daniel Gomance, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1907098 Issued in AR

Practice address

1820 Central Ave Ste B&C
Hot Springs, AR 71901-6847

Phone

(501) 623-6000

Fax

(601) 623-6004

NPI assigned

Dec 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Real Development Corporation

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1568943140
  Medicare reassignment NPD

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1326583675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE STE B&C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016847",
            "telephone_number": "501-844-6956",
            "fax_number": "501-623-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE STE B&C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016847",
            "telephone_number": "501-623-6000",
            "fax_number": "601-623-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Central Avenue Suite B & C",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "71901",
            "country_code": "US",
            "telephone_number": "501-623-6000",
            "fax_number": "501-623-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMANCE",
        "first_name": "ERIC",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1907098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Ann Goines
• Gunner Golden, LAC
• Patricia M Golden
• Golf Links Road Operating LLC
• Matthew Golston
• Lauren Gomance, LPC
• Lindsay Gonzales, CCC-SLP
• Haley Elizabeth Gonzalez, M.S., R.D., L.D.
• Monica Gonzalez, LAC
• Paula Gonzalez, NP

• Professional Counselor in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.