Kylie Rae Gore-Hall, PSYD, MS, LP, LPC-S

Primary specialty

PsychologistTaxonomy code 103T00000X

License

210008 Issued in AK

Practice address

530 7TH Ave Ste 1
Fairbanks, AK 99701-4971

Phone

(907) 451-8208

Fax

(907) 451-8207

NPI assigned

Jul 17, 2017

Last updated

Dec 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Kylie Rae Gore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Continuing Hope Counseling, LLC

  • Mental Health Counselor
  • Fairbanks, AK
  • NPI 1649859166
  NPD Authorized official

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1265954796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 7TH AVE STE 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014971",
            "telephone_number": "907-451-8208",
            "fax_number": "907-451-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 7TH AVE STE 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014971",
            "telephone_number": "907-451-8208",
            "fax_number": "907-451-8207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Aspen St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997095501",
            "country_code": "US",
            "telephone_number": "907-451-8208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORE-HALL",
        "first_name": "KYLIE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PSYD, MS, LP, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "157795",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AK",
            "license": "210008",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "GORE",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "PSYD, MS, LP, LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan Virginia Gooding, LCSW
• Cory Goodman
• Josephine Lynn Gooshaw
• Jeannette Gorda, RN
• Jeffrey Stephen Gordon, PT
• Judith Gottschalk, LPC
• Stephanie Leigh Gottschalk, L.AC.
• Pearl J Gould
• Sriharsha Gowtham, MD
• Kornelia Grabinska, PHD

• Psychologist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.