Individual provider Active NPI

Lauren Gomance, LPC

  • Mental Health Counselor
  • Hot Springs, AR
National Provider Identifier
1780018515
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P-1509098 Issued in AR
Practice address
1820 Central Ave
Hot Springs, AR 71901-6847
Phone
(501) 844-5554
Fax
(501) 609-0166
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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 A-1308080 AR
Mental Health Counselor 101YM0800X P-1509098 AR Primary

Addresses

Primary practice location

1820 Central Ave
Hot Springs, AR 71901-6847

Mailing address

1820 Central Ave
Hot Springs, AR 71901-6847
Phone (501) 844-5554

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

State licenses

LicenseStateTypeSpecialty
A-1308080ARMDMental Health Counselor
P-1509098ARMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1780018515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016847",
            "telephone_number": "501-844-5554",
            "fax_number": "501-609-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016847",
            "telephone_number": "501-844-5554",
            "fax_number": "501-609-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMANCE",
        "first_name": "LAUREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A-1308080",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P-1509098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.