Individual provider Active NPI

Mikkia Joye Gould, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1114691623
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61429372 Issued in WA
Practice address
1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone
(509) 452-4520
Fax
(509) 452-5224
NPI assigned
Aug 7, 2021
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61429372 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1048795 TX

Addresses

Primary practice location

1806 W Lincoln Ave
Yakima, WA 98902-2473

Mailing address

501 S 5TH Ave
Yakima, WA 98902-3550
Phone (509) 853-1082

Other practice location 1

801 7th Ave Ste 2600
Fort Worth, TX 76104-2733
Phone (682) 885-1055

Other identifiers 1

IdentifierTypeStateIssuer
2250643MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211221002982 TX Practitioner - Nurse Practitioner 2567853898 Reassigns benefits to 5 organizations
I20230824003961 WA Practitioner - Nurse Practitioner 2567853898 Reassigns benefits to 2 organizations
I20250421002154 MO Practitioner - Nurse Practitioner 2567853898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health of Central WashingtonGroup PAC ID 4183536931, shared by 7 NPIs, 77 clinicians

Practice addresses (Care Compare)

1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520

501 S 5TH Ave
Yakima, WA 98902-3550

521 E Mountain View Ave
Ellensburg, WA 98926-3865
Phone (509) 962-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Apr 6, 2025 Accepting new patients
SSM Regional Health Services CurrentSince Apr 1, 2025 Accepting new patients
Cook Children's Physician Network CurrentSince Feb 12, 2024 Accepting new patients
Providence Health & Services- Washington CurrentSince Nov 29, 2024 Accepting new patients
Providence Health & Services-Wa CurrentSince Nov 29, 2024 Accepting new patients
Providence Health & Services-Washington CurrentSince Nov 29, 2024 Accepting new patients
Providence Health & Services-Washington CurrentSince Nov 29, 2024 Accepting new patients
Community Health of Central Washington CurrentSince Nov 3, 2025 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Sep 2, 2022 Accepting new patients
Community Health of Central Washington CurrentSince Nov 3, 2025 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Current Accepting new patients
Cook Children's Physician Network CurrentSince Feb 12, 2024 Accepting new patients
The Core of Compassion PLLC Current Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Nov 1, 2022 Accepting new patients
SSM Regional Health Services CurrentSince Apr 1, 2025 Accepting new patients
My Health My Resources of Tarrant County CurrentSince Dec 10, 2021 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Community Health of Central Washington Past Accepting new patients

Locations (25 of 28)

7655 Solutions Ctr
Chicago, IL 60677

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

2717 Tibbets Dr
Bedford, TX 76022
Phone (817) 685-4011

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

7000 Calmont Ave
Ste 150
Fort Worth, TX 76116
Phone (682) 885-6163

901 7th Ave
Ste 2200
Fort Worth, TX 76104
Phone (682) 885-1050

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

600 N Grant Ave
Odessa, TX 79761
Phone (432) 335-8275

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1330 Rockefeller Ave
Ste 210
Everett, WA 98201
Phone (425) 261-4940

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

Interoperability endpoints

  • Direct secure messaging: mgould3528626@wm.providencedirect.org
  • Direct secure messaging: mgould534600@direct-ehr-ssmhc.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1114691623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 5TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023550",
            "telephone_number": "509-853-1082",
            "fax_number": "509-573-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 W LINCOLN AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022473",
            "telephone_number": "509-452-4520",
            "fax_number": "509-452-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 7th Ave Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042733",
            "country_code": "US",
            "telephone_number": "682-885-1055",
            "fax_number": "682-885-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "MIKKIA",
        "middle_name": "JOYE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61429372",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1048795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2250643",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.