Active NPI
Bianca Leticia Gomez
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1871368761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1155122119
- Practice address
- 1617 Fannin St Apt 2614
Houston, TX 77002-7658 - Phone
- (956) 324-3282
- NPI assigned
- Nov 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BCAB980104 | TX | |
| Mental Health Counselor | 101YM0800X | 1155122119 | TX | Primary |
Addresses
Primary practice location
1617 Fannin St Apt 2614
Houston, TX 77002-7658
Mailing address
1617 Fannin St Apt 2614
Houston, TX 77002-7658
Phone (956) 324-3282
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1155122119 | TX | MD | Mental Health Counselor |
| BCAB980104 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1871368761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 FANNIN ST APT 2614",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770027658",
"telephone_number": "956-324-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 FANNIN ST APT 2614",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770027658",
"telephone_number": "956-324-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "BIANCA",
"middle_name": "LETICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "BCAB980104",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "1155122119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.