Individual provider Active NPI

Anthony Gouge, PPS

  • School Counselor
  • Sacramento, CA
National Provider Identifier
1497633051
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
220002073 Issued in CA
Practice address
4600 Blackrock Dr
Sacramento, CA 95835-1250
Phone
(916) 928-5353
NPI assigned
Aug 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 220002073 CA Primary

Addresses

Primary practice location

4600 Blackrock Dr
Sacramento, CA 95835-1250

Mailing address

PO Box 19055
Sacramento, CA 95819-0055
Phone (916) 821-4645

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

State licenses

LicenseStateTypeSpecialty
220002073CAMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1497633051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19055",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958190055",
            "telephone_number": "916-821-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BLACKROCK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351250",
            "telephone_number": "916-928-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGE",
        "first_name": "ANTHONY",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "220002073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.