Joanna Gould, LADC,LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-0100839 Issued in VT

Practice address

75 San Remo Dr
South Burlington, VT 05403-6385

Phone

(802) 488-7350

Fax

(802) 488-6919

NPI assigned

Sep 1, 2017

Sex

Female

Sole proprietor

No

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.

• Joanna Gould Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rutland, VT
  • NPI 1720791809
  NPD Authorized official
• Howard Center Inc

  • Psychiatry Physician
  • South Burlington, VT
  • NPI 1093005092
  NPD (past)
• Howard Center Inc

  • Methadone Clinic
  • Burlington, VT
  • NPI 1134346687
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2024 through Mar 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Joanna Wojtowicz Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2017.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1023536737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FLYNN AVE STE 3J",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015420",
            "telephone_number": "802-488-6920",
            "fax_number": "802-488-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SAN REMO DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036385",
            "telephone_number": "802-488-7350",
            "fax_number": "802-488-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "JOANNA",
        "credential": "LADC,LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151-0132461",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0100839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "WOJTOWICZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johanna Powden Golston, RN, NP
• Goodhealth Diagnostic Center, Inc.
• Goodhealth P.C.
• Goodhealth, P.C.
• Robert Macy Goodman, M.A., M.S.
• Tyler James Gould, PHD
• Ryan James Gouvin
• Jason Gramling, MD
• Brittany Granara, APRN (NP)
• Granite Ridge Counseling, LCC

• All providers in South Burlington, VT
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.