Golden Century Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GOLDEN CENTURY WELLNESS PLLC

Practice address

1020 Brand LN Apt 316
Stafford, TX 77477-5759

Phone

(224) 509-5510

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Jamille J Edwards, LCPC (IL) LPC-S (TX)NPI 1073145702

Title

Counselor

Phone

(708) 320-8444

Specialties & licenses 1

Addresses

Other names 1

• Golden Century Wellness PLLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamille Edwards

  • Professional Counselor
  • Chicago, IL
  • NPI 1073145702
  NPD Authorized official

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1336907245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BRAND LN",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775757",
            "telephone_number": "708-320-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BRAND LN APT 316",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775759",
            "telephone_number": "224-509-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CENTURY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JAMILLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "708-320-8444",
        "authorized_official_credential": "LCPC (IL) LPC-S (TX)"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Century Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Century Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Verdale Goins, PH.D, LPC, CACIII
• Jocelyn Edith Gomez
• Yaridia Roxana Gomez, RN
• Sabrina Gonzales-Smith
• Leticia G. Gonzalez-Castro, LMSW
• Angela R Gonzalez, OTA

• Mental Health Counselor in Stafford, TX
• Providers in Stafford, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.