Active NPI
Kelly Ann Gould, LCMHC, LMHC
- Mental Health Counselor
- Morrisville, NC
National Provider Identifier
1730305079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11413
- Practice address
- 2121 TW Alexander Dr.
Suite 124 #172
Morrisville, NC 27560-6815 - Phone
- (000) 000-0000
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5521 | MA | |
| Mental Health Counselor | 101YM0800X | 11413 | NC | Primary |
Addresses
Primary practice location
2121 TW Alexander Dr.
Suite 124 #172
Morrisville, NC 27560-6815
Mailing address
2121 TW Alexander Dr.
Suite 124, #172
Morrisville, NC 27560-6815
Phone (000) 000-0000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5521 | MA | MD | Professional Counselor |
| 11413 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1730305079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 TW ALEXANDER DR.",
"address_2": "SUITE 124, #172",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275606815",
"telephone_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 TW ALEXANDER DR.",
"address_2": "SUITE 124 #172",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275606815",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "LCMHC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "5521",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.