Individual provider Active NPI

Rebecca Gouck

  • Professional Counselor
  • Exton, PA
National Provider Identifier
1508513904
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015080 Issued in PA
Practice address
102 Pickering Way Ste 506
Exton, PA 19341-1330
Phone
(610) 544-2110
NPI assigned
Mar 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC015080 PA Primary

Addresses

Primary practice location

102 Pickering Way Ste 506
Exton, PA 19341-1330

Mailing address

501 Country LN
Morgantown, PA 19543-8814
Phone (484) 888-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241126004520 PA Practitioner - Mental Health Counselor 8426583543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC015080PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Psychology LLC CurrentSince Jun 29, 2026 Accepting new patients
Blossom Counseling Solutions LLC Professional PastSince May 7, 2024 Accepting new patients
Blossom Counseling Online Mental Health PastSince Apr 23, 2023 Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

Interoperability endpoints

  • Direct secure messaging: rebecca.gouck.1@28623.direct.athenahealth.com

Organizations & group practices 4

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": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1508513904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 COUNTRY LN",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195438814",
            "telephone_number": "484-888-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PICKERING WAY STE 506",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411330",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUCK",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.