Individual provider Active NPI

Nicole Gomer

  • Social Worker
  • Johnstown, PA
National Provider Identifier
1487102018
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
401 Broad St
Johnstown, PA 15906-2745
Phone
(814) 535-6000
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X Primary

Addresses

Primary practice location

401 Broad St
Johnstown, PA 15906-2745

Mailing address

7 George St
Central City, PA 15926-1410

Other practice location 1

9709 Lincoln Hwy
Bedford, PA 15522-3717
Phone (814) 652-3243

Other practice location 2

119 Walnut St
Johnstown, PA 15901-1625
Phone (814) 534-0745

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1487102018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GEORGE ST",
            "city": "CENTRAL CITY",
            "state": "PA",
            "postal_code": "159261410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BROAD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159062745",
            "telephone_number": "814-535-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9709 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "PA",
            "postal_code": "155223717",
            "country_code": "US",
            "telephone_number": "814-652-3243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159011625",
            "country_code": "US",
            "telephone_number": "814-534-0745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMER",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.