Individual provider Active NPI

Valerie Lou Gold Neil, ED.D

  • Mental Health Counselor
  • Green Valley, AZ
National Provider Identifier
1609041722
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PSY12628 Issued in CA
Practice address
718 W Moorwood St
Green Valley, AZ 85614-6145
Phone
(520) 840-1878
Fax
(623) 321-1140
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PSY12628 CA Primary

Addresses

Primary practice location

718 W Moorwood St
Green Valley, AZ 85614-6145

Mailing address

718 W Moorwood Drive
Green Valley, AZ 85614
Phone (520) 840-1878

Other practice location 1

2062 Hidden Valley Canyon Rd
Laguna Beach, CA 92651-2210
Phone (949) 376-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250312000856 AZ Practitioner - Clinical Psychologist 6204176209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

718 W Moorwood St
Green Valley, AZ 85614-6145
Phone (520) 840-1878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PSY12628CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie Lou Gold-Neil CurrentSince May 15, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1609041722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W MOORWOOD DRIVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "85614",
            "telephone_number": "520-840-1878",
            "fax_number": "623-321-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W MOORWOOD ST",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856146145",
            "telephone_number": "520-840-1878",
            "fax_number": "623-321-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2062 Hidden Valley Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926512210",
            "country_code": "US",
            "telephone_number": "949-376-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD NEIL",
        "first_name": "VALERIE",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY12628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.