Individual provider Active NPI

Tony Eugene Goss, LPC-A

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1407458730
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88725 Issued in TX
Practice address
3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone
(903) 200-1433
Fax
(903) 405-4047
NPI assigned
Nov 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 88725 TX Primary
Mental Health Counselor 101YM0800X 88725 TX
Occupational Therapy Assistant 224Z00000X 208648 TX

Addresses

Primary practice location

3118 H G Mosley Pkwy
Longview, TX 75605-2941

Mailing address

3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone (903) 200-1433

Other practice location 1

438 Lansing Ln
Longview, TX 75605-6379
Phone (903) 387-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627002864 TX Practitioner - Mental Health Counselor 7517401839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208648TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kranz Psychological Services, PLLC Mental Health CurrentSince Apr 7, 2024 Accepting new patients
Counseling Services, PLLC Mental Health CurrentSince Aug 19, 2025 Accepting new patients
Longview Counseling Services, PLLC Professional Current Accepting new patients

Locations

3118 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 200-1433

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Core Health SystemsGilmer, TX, CCN 971061 Federally qualified health center Other May 17, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1407458730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433",
            "fax_number": "903-405-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433",
            "fax_number": "903-405-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 Lansing Ln",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756056379",
            "country_code": "US",
            "telephone_number": "903-387-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSS",
        "first_name": "TONY",
        "middle_name": "EUGENE",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88725",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88725",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.