Individual provider Active NPI

Jay Gould

  • Professional Counselor
  • Joppa, MD
National Provider Identifier
1306332986
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP8768 Issued in MD
Practice address
37 Old Sound Rd
Joppa, MD 21085-4524
Phone
(315) 317-0310
NPI assigned
Jul 6, 2018
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC10626 MD
Professional Counselor 101YP2500X LGP8768 MD Primary

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 1

IdentifierTypeStateIssuer
38-3876389MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20250221000870 MD Practitioner - Mental Health Counselor 3577979277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 CallGroup PAC ID 1759797459, 8 clinicians

Practice addresses (Care Compare)

Joppa, MD 21085
Phone (443) 261-5963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP8768MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling on Call CurrentSince Feb 28, 2021 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Aug 1, 2025 Accepting new patients

Organizations & group practices 2

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1306332986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 OLD SOUND RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854524",
            "telephone_number": "315-317-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 OLD SOUND RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854524",
            "telephone_number": "315-317-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10626",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP8768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38-3876389",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joppa, MD

Sources for this page

Verify at the official NPI Registry.