TIMOTHY D. GOULD ED.D LPC NPI 1295788867

NPI Information

NPI: 1295788867
Provider Name: TIMOTHY D. GOULD, ED.D LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
903 S KINGSHIGHWAY ST
SIKESTON, MO
ZIP 63801
Phone: (573) 979-3676
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Timothy D. Gould, ED.D LPC is a professional counselor in Sikeston, MO. Timothy D. Gould, ED.D LPC NPI is 1295788867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

903 S KINGSHIGHWAY ST
SIKESTON, MO
ZIP 63801-415
Phone: (573) 979-3676

The enumeration date for this NPI number is 5/18/2006 and was last updated on 12/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		002646	MISSOURI	No
2	101YP2500X	Counselor	Professional	CS002646	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	431823864	OTHER	MISSOURI	MISSOURI ALLIANCE
2	11-3764474	OTHER	MISSOURI	MAGELLAN
3	420291	OTHER		HEALTHLINK/FREEDOM
4	493840714	MEDICAID	MISSOURI
5	49906211	OTHER		EPOCH
6	420291	OTHER		FORTIS/HL
7	431823864	OTHER		CORPHEALTH
8	156007	OTHER		BLUE CROSS BLUE SHIELD
9	431823864	OTHER		GREATWEST
10	311575142	MEDICAID	MISSOURI
11	420291	OTHER		HEALTHLINK PPO
12	100387	OTHER	MISSOURI	VETERANS ADMINISTRATION
13	431823864	OTHER		MULTIPLAN
14	431823864	OTHER		WELLPOINT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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