Active NPI
Susan Taylor-Gol
- Mental Health Counselor
- Tomball, TX
National Provider Identifier
1972151389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 77745
- Practice address
- 25510 Tomball Pkwy
Tomball, TX 77375-7730 - Phone
- (713) 306-7061
- NPI assigned
- Aug 28, 2019
- 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 | 77745 | TX | Primary |
Addresses
Primary practice location
25510 Tomball Pkwy
Tomball, TX 77375-7730
Mailing address
8123 Cove Timbers LN
Tomball, TX 77375-2675
Phone (571) 225-0215
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 |
|---|---|---|---|
| 77745 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1972151389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8123 COVE TIMBERS LN",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773752675",
"telephone_number": "571-225-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25510 TOMBALL PKWY",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773757730",
"telephone_number": "713-306-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-GOL",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "77745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.