Susan Linda Gomola, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC 002698 Issued in PA

Practice address

91 Pickett Rd
Punxsutawney, PA 15767-2958

Phone

(814) 952-2009

Fax

(814) 938-2728

NPI assigned

Jul 17, 2012

Last updated

Aug 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1679828511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 PICKETT RD",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672958",
            "telephone_number": "814-952-2009",
            "fax_number": "814-938-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PICKETT RD",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672958",
            "telephone_number": "814-952-2009",
            "fax_number": "814-938-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMOLA",
        "first_name": "SUSAN",
        "middle_name": "LINDA",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC 002698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.