Stacie Kamille Goran, LPC, LCDC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

70397 Issued in TX

Practice address

5804 Hilton Head Dr
North Richland Hills, TX 76180-0830

Phone

(432) 212-1490

NPI assigned

Apr 1, 2017

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 TX

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, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Children'S Health System of Texas

  • Children's Hospital
  • Dallas, TX
  • NPI 1194743013
  Medicare reassignment NPD
• Children'S Health System of Texas

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1881830602
  NPD

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491004800000",
    "number": "1265964837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 HILTON HEAD DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761800830",
            "telephone_number": "432-212-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 HILTON HEAD DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761800830",
            "telephone_number": "432-212-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORAN",
        "first_name": "STACIE",
        "middle_name": "KAMILLE",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2017-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "70397",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Oh Gonzales, PHARMD
• Christian Elizabeth Gonzalez Aranda, SLPA
• Kayleen Natasha Gonzalez, M.S., BCBA
• Good Place
• Ottis Samuel Goodwin, LPC
• Sherry Alexis Gordon, MD
• Amanda Kathleen Goss, LCSW
• Michelle J Gotcher, L.V.N.
• Suguna Gottam, DDS
• Ronald Gottschalk, MD

• Counselor in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; 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.