Sharon R. Gough Grief and Trauma Therapy PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHARON R. GOUGH GRIEF AND TRAUMA THERAPY PC

Practice address

880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700

Phone

(254) 690-1512

Fax

(254) 690-1532

NPI assigned

Aug 10, 2020

Last updated

Aug 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sharon Rose Gough, PH.D., LPC, LCDCNPI 1750554374

Title

Owner

Phone

(575) 590-0238

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon Rose Gough, LPCC LADAC PH.D

  • Professional Counselor
  • Harker Heights, TX
  • NPI 1750554374
  NPD Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1801407317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MOUNTAIN VIEW DR",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488000",
            "telephone_number": "575-590-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-690-1512",
            "fax_number": "254-690-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765488000",
            "country_code": "US",
            "telephone_number": "575-590-0238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHARON R. GOUGH GRIEF AND TRAUMA THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-590-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,  LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750554374",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@ellisgroupcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Business email/messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "880 Prospector Trl Ste 100",
            "city": "Harker Heights",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765482700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy Lee Sepulveda
• Samoeun Anthony Seun
• Crystal Lynn Seymour
• Christopher Alan Shackelford, DPT
• Shari L. Hogue, PH.D., PLLC
• Da'Glacia Sharper
• Renee Antoinette Sharper, LPC
• Kilie Shaw, RBT
• Christopher Shea, PT, DPT
• Charlotte Megan Shelton

• Professional Counselor in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.