Shaun Gould, CDCA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

177075 Issued in OH

Practice address

3461 Cross Rd
Winchester, OH 45697-9477

Phone

(937) 544-4020

Fax

(937) 544-4009

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: yvonne@arayofhopeservices.com

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1073264974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 CROSS RD",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979477",
            "telephone_number": "937-544-4020",
            "fax_number": "937-544-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 CROSS RD",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979477",
            "telephone_number": "937-544-4020",
            "fax_number": "937-544-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "SHAUN",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "177075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE",
            "identifier": "177075",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yvonne@arayofhopeservices.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "address_1": "3461 Cross Rd",
            "city": "Winchester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456979477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jarrod Alan Flora, OTR/L
• Kasey Jo Fraley-Thompson
• Mafalda White French
• Valerie Gifford, COTA
• Cathy Lou Glorius, RN
• Laura Louise Graham, LPN
• Bryan D Grooms, D.O.
• Tella Halcomb, RN
• Fonda Sherrie Harris, RN
• Tammy Hawthorn, RN

• Counselor in Winchester, OH
• Providers in Winchester, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.