Individual provider Active NPI

Emily Catherine Gould, ATR-BC, LMHC

  • Mental Health Counselor
  • Gloucester, MA
National Provider Identifier
1306191390
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8717 Issued in MA
Practice address
3 Blackburn Ctr
Gloucester, MA 01930-2268
Phone
(978) 283-7198
Fax
(978) 281-7793
NPI assigned
Jul 17, 2012
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8717 MA Primary
Art Therapist 221700000X 06-020 NU

Addresses

Primary practice location

3 Blackburn Ctr
Gloucester, MA 01930-2268

Mailing address

3 Blackburn Ctr
Gloucester, MA 01930-2268
Phone (978) 283-7198

Other practice location 1

100 Cummings Ctr Ste 207P
Beverly, MA 01915-6104
Phone (978) 763-3106

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

LicenseStateTypeSpecialty
8717MAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc. CurrentSince Jan 12, 2025 Accepting new patients

Locations

3 Blackburn Ctr
Gloucester, MA 01930
Phone (978) 264-3500

33 Commercial St
Gloucester, MA 01930
Phone (978) 238-7198

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1306191390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BLACKBURN CTR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302268",
            "telephone_number": "978-283-7198",
            "fax_number": "978-281-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLACKBURN CTR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302268",
            "telephone_number": "978-283-7198",
            "fax_number": "978-281-7793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 207P",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156104",
            "country_code": "US",
            "telephone_number": "978-763-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "ATR-BC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8717",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": "06-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.