Ellen Gold, MPS, BCDMT, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00234600 Issued in NJ

Practice address

11726 Lariat Lanee
Oakton, VA 22124

Phone

(703) 860-8188

NPI assigned

Oct 22, 2012

Last updated

Oct 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Gold Yacoe Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1194078568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11726 LARIAT LN",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242323",
            "telephone_number": "703-860-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11726 LARIAT LANEE",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "22124",
            "telephone_number": "703-860-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MPS, BCDMT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00234600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "YACOE",
            "middle_name": "GOLD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Oakton, VA
• Providers in Oakton, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.