Keonta Golson, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

88109 Issued in TX

Practice address

840 Summerfield
Prosper, TX 75078-9198

Phone

(469) 249-0424

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Male

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

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  NPD Authorized official
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  Professional

  NPD

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1467101865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SUMMERFIELD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789198",
            "telephone_number": "469-249-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SUMMERFIELD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789198",
            "telephone_number": "469-249-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSON",
        "first_name": "KEONTA",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imierah Givens
• Katelyn Jean Glasmith, CPNP
• Donald Alexander Glass II, M.D., PH,D,
• Karna Gocke, M.D.
• Suelen Goia DO Prado Lima Spier
• Maria Laura Gomez, M.ED - BCBA
• Rochell Gonzalez
• Good Guys PLLC (Mintyfresh dental and orthodontics)
• Goodm Samaritan Rides
• Kristi K Goodson, MD

• Professional Counselor in Prosper, TX
• Providers in Prosper, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.