Jay Gould
Individual provider Active NPI Professional Counselor · Joppa, MD
NPI 1306332986 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1306332986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP8768 (MD)
- Practice address
- 37 Old Sound Rd
Joppa, MD 21085-4524 - Phone
- (315) 317-0310
- NPI assigned
- Jul 6, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Counseling on Call
Practice addresses (Care Compare)
Joppa, MD 21085
Phone (443) 261-5963
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250221000870 | MD | Practitioner - Mental Health Counselor | 3577979277 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC10626 | MD | MD | Professional Counselor |
| LGP8768 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Professional | Current |
Accepting new patients |
| Counseling on Call | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC10626 | MD | |
| Professional Counselor | 101YP2500X | LGP8768 | MD | Yes |
Addresses
Primary practice location
37 Old Sound Rd
Joppa, MD 21085-4524
Mailing address
37 Old Sound Rd
Joppa, MD 21085-4524
Phone (315) 317-0310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3876389 | Medicaid | MD |
Other providers in Joppa, MD
- Marlene S Gearing
- Elizabeth Gill
- Golden Days Homecare, LLC
- Good Morning Health Care
- Dianne Goodman
- Gramleer Dialysis LLC
- Isabella Victoria Gray
- Casey Marie Green
- Jessica Mahla Griffin
- Christine Marie Guay
All providers in Joppa, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.