Individual provider Active NPI

Sally Goh, PH.D., LPC, NCC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1487258364
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008863 Issued in VA
Practice address
98 Edgewood CT
Lynchburg, VA 24502-3285
Phone
(434) 233-4080
NPI assigned
Nov 23, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 010970 GA
Professional Counselor 101YP2500X 0701008863 VA Primary

Addresses

Primary practice location

98 Edgewood CT
Lynchburg, VA 24502-3285

Mailing address

1892 Graves Mill Rd Unit D
Lynchburg, VA 24502-5097
Phone (434) 233-4080

Other practice location 1

1892 Graves Mill Rd Unit D
Lynchburg, VA 24502-5097
Phone (434) 233-4080

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Lynchburg
CONNECT URL Lynchburg

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
010970GAMDProfessional Counselor
0701008863VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sallygoh@tdh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1487258364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 GRAVES MILL RD UNIT D",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025097",
            "telephone_number": "434-233-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 EDGEWOOD CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023285",
            "telephone_number": "434-233-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1892 Graves Mill Rd Unit D",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245025097",
            "country_code": "US",
            "telephone_number": "434-233-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOH",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "010970",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Lynchburg",
            "affiliation": "N",
            "endpointDescription": "home",
            "address_1": "98 Edgewood Ct",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245023285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lynchburg",
            "affiliation": "N",
            "address_1": "98 Edgewood Ct",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245023285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.