Joe Thomas Gossage Jr., LPC/MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC0000002912 Issued in GA

Practice address

160 Court Ave
Suite 5
Sevierville, TN 37862-3560

Phone

(865) 280-2465

NPI assigned

Nov 27, 2013

Last updated

Nov 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1780014811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 COURT AVE",
            "address_2": "SUITE 5",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623560",
            "telephone_number": "706-331-0598",
            "fax_number": "865-622-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COURT AVE",
            "address_2": "SUITE 5",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623560",
            "telephone_number": "865-280-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSAGE",
        "first_name": "JOE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC/MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC0000002912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.