Stephanie Alice Gould, MED.,LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

541 Issued in NH

Practice address

25 W Main St
Conway, NH 03818-6142

Phone

(603) 447-2111

NPI assigned

Feb 2, 2007

Last updated

Sep 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Northern Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Center Conway, NH
  • NPI 1700955028
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1306984083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 316",
            "city": "BETHLEHEM",
            "state": "NH",
            "postal_code": "035746837",
            "telephone_number": "603-991-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186142",
            "telephone_number": "603-447-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "STEPHANIE",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "MED.,LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30427904",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geomed Consultants, Inc. (Sound Medical Imaging)
• Sean Philip Goldman, LCSW
• Adrianna Gomez, WAIVER
• Danielle Goodwin, WAIVER
• Larry Gordon
• Green Fern in-Home Care Service
• Marie A Hager, APRN FNP
• Katy Hamill
• Jeffrey Hanson
• Sheena Hardy, WAIVER

• Mental Health Counselor in Conway, NH
• Providers in Conway, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.