Active NPI
James Eric Gooch, LPC
- Professional Counselor
- Palestine, TX
National Provider Identifier
1285761080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 60766
- Practice address
- 310 Chestnut Dr
Palestine, TX 75803-5614 - Phone
- (903) 391-1028
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 60766 | TX | Primary |
Addresses
Primary practice location
310 Chestnut Dr
Palestine, TX 75803-5614
Mailing address
310 Chestnut Dr
Palestine, TX 75803-5614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182805501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60766 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285761080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CHESTNUT DR",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758035614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CHESTNUT DR",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758035614",
"telephone_number": "903-391-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOCH",
"first_name": "JAMES",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "60766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182805501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.