Chelsea Gollob

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2230 Professional Dr Ste a
Santa Rosa, CA 95403-3015

Phone

(707) 483-9061

NPI assigned

May 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1003306580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 LOVELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085915",
            "telephone_number": "408-687-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 PROFESSIONAL DR STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033015",
            "telephone_number": "707-483-9061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Parkmoor Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263407",
            "country_code": "US",
            "telephone_number": "408-885-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLLOB",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Goldstone
• Ashlyn Daisy Goley
• Stephine Ann Golik, PHARMD
• Amanda Elizabeth Golinski, PA-C
• Sayra Escarlet Gollaz Landeros
• Amber Gomes, PA-C
• Elizabeth Gormley Gomes, MS OTR
• Pedro Luis Gomez Gomez, CMT
• Amada Ligia Gomez, NURSE PRACTITIONER
• Laura Gomez

• Mental Health Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.