Hayley Teles Gould, MS, EDS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGPC200001217 Issued in DC

Practice address

2639 Connecticut Ave NW Ste 251
Washington, DC 20008-2651

Phone

(240) 722-1014

NPI assigned

Sep 24, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Body Image Therapy Center Intensive

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1982035994

  Mental Health

  NPD

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1396416848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 CONNECTICUT AVE NW APT L10",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW STE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082651",
            "telephone_number": "240-722-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "HAYLEY",
        "middle_name": "TELES",
        "credential": "MS, EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC200001217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Gough
• Scholastica Gough
• Davye Gould, LICSW
• Erin Elizabeth Gould
• Harley Nicole Gould
• Kayli Erin Gould, HS
• Natasha Gould
• Renata Gould
• Rosemary Jane Gould, LICSW, LCSW-C, LCSW
• Sara Gould

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.