Allison Gould, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00702000 Issued in NJ

Practice address

465 Cranbury Rd Ste 203
East Brunswick, NJ 08816-7600

Phone

(732) 982-2888

Fax

(847) 859-5885

NPI assigned

Dec 19, 2016

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.allisongould@148376.advancedmd-direct.com

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.

• New Jersey Behavioral Health P.C

  • Psychologist
  • Princeton Junction, NJ
  • NPI 1538744297
  Medicare reassignment NPD
• PHC of Buffalo Grove Clinical Psychology

  • Psychologist
  • Vernon Hills, IL
  • NPI 1235430612
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1104361674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HAWTHORN PKWY",
            "address_2": "SUITE 235",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611463",
            "telephone_number": "847-868-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CRANBURY RD STE 203",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088167600",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 Marlton Pike E",
            "address_2": "Suite 2C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032034",
            "country_code": "US",
            "telephone_number": "732-982-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ALLISON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00333800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00702000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherad Medical Group,LLC
• Alla Gordina, M.D., F.A.A.P
• Tracity Gordon James, LCSW
• Stanley Gottlieb, M.D.
• Yvonne Marcella Gottlieb, CRNA/APN ANESTHESIA
• Graceful Smiles LLC
• Christene Graham, DPT
• Kristen Grandal, BCBA
• Lauren Grandal, M.S. CCC-SLP
• Keri Grant

• Professional Counselor in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.