Michael N Gomila, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3353 Issued in LA

Practice address

5625 Fairway Dr
Zachary, LA 70791-2313

Phone

(318) 235-3802

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Behavioral Medicine and Addictive Disorders, Inc

  • Counselor
  • Monroe, LA
  • NPI 1669574851
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1750448668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 FAIRWAY DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912313",
            "telephone_number": "318-235-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 FAIRWAY DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912313",
            "telephone_number": "318-235-3802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Evangeline St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712013724",
            "country_code": "US",
            "telephone_number": "318-388-5553",
            "fax_number": "318-388-2190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2910 Evangeline St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712013724",
            "country_code": "US",
            "telephone_number": "318-388-5553",
            "fax_number": "318-388-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMILA",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "3353",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "3353",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3353",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Gaston, LPC-S
• Jeanne Nicole Gautreaux, M.D.
• Geaux Medical Supplies LLC
• Maranda Brown Gilmore, NCC, LPC
• Rochelle Gipson, MSW, LCSW
• Rishawn Gorden Lawson
• Deidre Allison Gordon, LPN
• Thomas Jeffrey Gould, M.D.
• Elizabeth Martin Granger, O.D.
• Grateful Hearts

• Professional Counselor in Zachary, LA
• Providers in Zachary, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; 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.