{"npi":"1275914111","type":"NPI-1","status":"active","name":{"display":"Diego Gomez Lcas-A","other":[],"first":"DIEGO","last":"GOMEZ","middle":"FERNANDO","credential":"LCAS-A"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"FL","license":"MH14194"}]},"addresses":[{"purpose":"LOCATION","street_1":"15901 BASS RD STE 108","city":"FORT MYERS","state":"FL","postal_code":"33908","country_code":"US","phone":"2393436050","fax":"2393436051"},{"purpose":"MAILING","street_1":"PO BOX 2147","city":"FORT MYERS","state":"FL","postal_code":"339022147","country_code":"US","phone":"2393436050","fax":"2393436051"}],"license":{"state":"FL","number":"MH14194"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100799300","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240313000203","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"FL","pac_id":"8527404599"}]},"enumeration_date":"2015-06-16","last_updated":"2020-09-03","_meta":{"source":"NPPES","snapshot_date":"2020-09-03","doc_url":"https://findmynpi.com/api"}}