Stephanie Alice Gould, MED.,LCMHC
Individual provider Active NPI Mental Health Counselor · Conway, NH
NPI 1306984083 · NPPES record last updated Sep 1, 2010
Key facts
- NPI
- 1306984083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 541 (NH)
- Practice address
- 25 W Main St
Conway, NH 03818-6142 - Phone
- (603) 447-2111
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Human Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 541 | NH | Yes |
Addresses
Primary practice location
25 W Main St
Conway, NH 03818-6142
Mailing address
Post Office Box 316
Bethlehem, NH 03574-6837
Phone (603) 991-8828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30427904 | Medicaid | NH |
Other providers in Conway, NH
- Geomed Consultants, Inc.
- Sean Philip Goldman
- Adrianna Gomez
- Danielle Goodwin
- Larry Gordon
- Green Fern in-Home Care Service
- Marie A Hager
- Katy Hamill
- Jeffrey Hanson
- Sheena Hardy
All providers in Conway, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.