Verdale Goins, PH.D, LPC, CACIII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77413 Issued in TX

Practice address

10701 Corporate Dr Ste 209
Stafford, TX 77477

Phone

(347) 874-7105

Fax

(346) 874-7106

NPI assigned

Jun 13, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: verdalegoins@tdh.allscriptsdirect.net

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.

• Jireh Christian Center

  • Professional Counselor
  • Stafford, TX
  • NPI 1912050154
  NPD Authorized official
• Jireh Christian Center

  • Adult Mental Health Clinic/Center
  • Stafford, TX
  • NPI 1922576727
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1225232168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR STE 209",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774050",
            "telephone_number": "347-874-7105",
            "fax_number": "346-874-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR STE 209",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "347-874-7105",
            "fax_number": "346-874-7106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 Havana St Ste B",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800104342",
            "country_code": "US",
            "telephone_number": "303-366-8424",
            "fax_number": "303-366-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOINS",
        "first_name": "VERDALE",
        "name_prefix": "Dr.",
        "credential": "PH.D, LPC, CACIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1404",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jocelyn Edith Gomez
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• Sabrina Gonzales-Smith
• Leticia G. Gonzalez-Castro, LMSW

• Professional Counselor in Stafford, TX
• Providers in Stafford, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.