Jay Ezra Gold, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13202 Issued in MN

Practice address

7301 Ohms LN Ste 450
Edina, MN 55439-2339

Phone

(612) 605-8820

NPI assigned

Nov 1, 2024

Last updated

Jul 6, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Cabot Psychological Services, PLLCGroup PAC ID 9739203167, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgold609219@excellian.direct.allina.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cabot Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Edina, MN
  • NPI 1326354432
  Medicare reassignment Care Compare group NPD
• Nepeta Therapy PLLC

  • Clinical Social Worker
  • Edina, MN
  • NPI 1962310185
  Authorized official Same address or phone

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1871316547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 OHMS LN STE 450",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392339",
            "telephone_number": "612-605-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 OHMS LN STE 450",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392339",
            "telephone_number": "612-605-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JAY",
        "middle_name": "EZRA",
        "credential": "LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-11-01",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306430",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laxmana M Godishala,, MD
• Rachel Marie Goehring, CRNA
• Jenna Nicole Goeppner, OD
• John C Goffigan, M.D.
• Sarah Gokey, MA, LMFT
• Eric Lawrence Goldberg, MD
• Stanley Morton Goldberg, MD
• Daniel Goldman, PH.D.
• Davida Z. Goldman, PH.D., L.P.
• Maryann Goldstein, MD

• Clinical Social Worker in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.