Tage Gould, MCOUN, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13482415-6004 Issued in UT

Practice address

355 N 300 W Ste 1
Salt Lake City, UT 84103-1595

Phone

(801) 899-3558

NPI assigned

Aug 1, 2023

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1356023238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N 300 W STE 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031595",
            "telephone_number": "801-899-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N 300 W STE 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031595",
            "telephone_number": "801-899-3558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 Old Main Hill",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843226405",
            "country_code": "US",
            "telephone_number": "435-797-4200",
            "fax_number": "844-308-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "TAGE",
        "credential": "MCOUN, CMHC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13482415-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Gough
• Grace Warner Gough, MS, RDN, CD
• Jessica Gough, RD
• Nancy Gough
• Adam T. Gould, MD
• Kayla Goulding, MS, RDN
• Claudia Goulston, M.D.
• Garrett Gourley
• Gary Michael Gourley
• Heather Linda Gourley, MS, CCC

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.