Individual provider Active NPI

Abigail Irene Salomon Gold, LPC

  • Professional Counselor
  • Grapevine, TX
National Provider Identifier
1720598790
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67470 Issued in TX
Practice address
4841 Merlot Ave Unit 420
Grapevine, TX 76051-7382
Phone
(817) 809-8399
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67470 TX Primary

Addresses

Primary practice location

4841 Merlot Ave Unit 420
Grapevine, TX 76051-7382

Mailing address

938 Danish Dr
Grand Prairie, TX 75050-2315
Phone (972) 824-2541

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
67470TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Mid-Cities PLLC CurrentSince May 7, 2024 Accepting new patients
Emh Mid-Cities PLLC CurrentSince May 7, 2024 Accepting new patients

Locations

4841 Merlot Ave
Unit 420
Grapevine, TX 76051
Phone (817) 392-9122

Organizations & group practices 2

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1720598790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 DANISH DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502315",
            "telephone_number": "972-824-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 MERLOT AVE UNIT 420",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517382",
            "telephone_number": "817-809-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ABIGAIL",
        "middle_name": "IRENE SALOMON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.