Active NPI
Lynne Colette Gould, LMHC
- Mental Health Counselor
- Rock Valley, IA
National Provider Identifier
1790153641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001706
- Practice address
- 1800 19TH St
Rock Valley, IA 51247-1058 - Phone
- (712) 476-2737
- Fax
- (712) 476-2970
- NPI assigned
- Sep 9, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001706 | IA | Primary |
Addresses
Primary practice location
1800 19TH St
Rock Valley, IA 51247-1058
Mailing address
1800 19TH St
PO Box 70
Rock Valley, IA 51247-1058
Phone (712) 476-2737
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 |
|---|---|---|---|
| 001706 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1790153641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 19TH ST",
"address_2": "PO BOX 70",
"city": "ROCK VALLEY",
"state": "IA",
"postal_code": "512471058",
"telephone_number": "712-476-2737",
"fax_number": "712-476-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 19TH ST",
"city": "ROCK VALLEY",
"state": "IA",
"postal_code": "512471058",
"telephone_number": "712-476-2737",
"fax_number": "712-476-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "LYNNE",
"middle_name": "COLETTE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.