Active NPI
Stacey Michelle Gooden, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1659610855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67391
- Practice address
- 1415 California St
Houston, TX 77006-2602 - Phone
- (713) 351-7360
- NPI assigned
- Feb 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67391 | TX | Primary |
Addresses
Primary practice location
1415 California St
Houston, TX 77006-2602
Mailing address
PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67391 | Other | TX | TEXAS LPC LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1659610855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772666308",
"telephone_number": "832-548-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 CALIFORNIA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770062602",
"telephone_number": "713-351-7360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "STACEY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-07",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LPC LICENSE",
"identifier": "67391",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.