Individual provider Active NPI

Erin Kathleen Gould, M.S.E., LPC

  • Professional Counselor
  • Maryland Heights, MO
National Provider Identifier
1669662623
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2007020194 Issued in MO
Practice address
13655 Riverport Dr
Maryland Heights, MO 63043-4812
Phone
(612) 474-2780
NPI assigned
Jul 26, 2007
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 108019 IA
Mental Health Counselor 101YM0800X TPMC1157 FL
Professional Counselor 101YP2500X E.2505376 OH
Professional Counselor 101YP2500X CP5400-R NV
Professional Counselor 101YP2500X 2007020194 MO Primary
Professional Counselor 101YP2500X 16689 CA

Addresses

Primary practice location

13655 Riverport Dr
Maryland Heights, MO 63043-4812

Mailing address

18 Airline Dr
Farmington, MO 63640-1106
Phone (573) 482-6138

Other names 1

  • Ms. Erin Kathleen Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • 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
I20260403000440 MO Practitioner - Mental Health Counselor 5092290395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPMC1157FLMDMental Health Counselor
108019IAMDMental Health Counselor
2007020194MOMDProfessional Counselor
CP5400-RNVMDProfessional Counselor
E.2505376OHMDProfessional Counselor
16689CAMDFamily Nurse Practitioner

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1669662623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 AIRLINE DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401106",
            "telephone_number": "573-482-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812",
            "telephone_number": "612-474-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "M.S.E., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "108019",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC1157",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505376",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5400-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007020194",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "16689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MOORE",
            "middle_name": "KATHLEEN",
            "prefix": "MS.",
            "credential": "M.S.E., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.