TIMOTHY D. GOULD (NPI# 1295788867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295788867 |
| Entity Type | Individual |
| Full Name | TIMOTHY D. GOULD |
| Credential | ED.D LPC |
| Practice Address |
1427 Thomas Dr Suite 204 Cape Girardeau MO 63701-2129 |
| Practice Telephone | 5733351481 |
| Practice Fax Number | 5733358610 |
| Mailing Telephone | 5733351481 |
| Mailing Fax Number | 5733358610 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 002646 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHLINK/FREEDOM | 420291 | 01 | |
| HEALTHLINK PPO | 420291 | 01 | |
| BLUE CROSS BLUE SHIELD | 156007 | 01 | |
| FORTIS/HL | 420291 | 01 | |
| EPOCH | 49906211 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912031337 | Timothy Cochran Gould | Dentist | 33533 West 12 Mile Road Suite 150, Smile Program, Farmington Hills, MI 48331 | 2007-03-15 |
| 1548244593 | Timothy C Gould | Physical Therapist | 166 Athletic Dr, Shelburne, VT 05482-4433 | 2005-12-02 |
| Street Address |
1427 THOMAS DR SUITE 204 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306095120 | Anthony Jerome Faber | Marriage & Family Therapist | 1427 Thomas Dr, Suite 106, Cape Girardeau, MO 63701-2129 | 2008-09-17 |
| 1841474350 | Mary M Leonard | Counselor | 1427 Thomas Dr, Suite 204, Cape Girardeau, MO 63701-2129 | 2007-12-19 |
| 1528283017 | Laura Mittlestadt | Counselor | 1427 Thomas Dr, Suite 204, Cape Girardeau, MO 63701-2129 | 2007-04-17 |
| 1801941455 | 4 Sight Counseling | Counselor | 1427 Thomas Dr, Suite 204, Cape Girardeau, MO 63701-2129 | 2007-01-24 |
| 1396899654 | Pamela Browning | Counselor | 1427 Thomas Dr, Suite 204, Cape Girardeau, MO 63701-2129 | 2007-01-23 |
| 1639267347 | Tehani Burnett | Social Worker | 1427 Thomas Dr, Suite 204, Cape Girardeau, MO 63701-2129 | 2006-10-10 |
| 1366460503 | Fonda L. Kaiser | Social Worker | 1427 Thomas Dr, Suite 204, Cape Girardeau, MO 63701-2129 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381151 | Carol Louise Dippold | Counselor | 1021 Kingsway Dr Ste 3, Cape Girardeau, MO 63701-3600 | 2019-02-04 |
| 1750760427 | Emily Oliveira | Counselor | 1911 Grandview Dr, Cape Girardeau, MO 63701-2278 | 2015-05-27 |
| 1275875023 | Misty Marie Abbott | Counselor | 73 Sheridan Dr, Cape Girardeau, MO 63703-5936 | 2013-03-20 |
| 1124178223 | Steve M Essner | Counselor | 1953 Longview Dr, Cape Girardeau, MO 63701-2382 | 2007-01-11 |
| 1548861958 | Morgan Ashley Murphy | Counselor | 1223 N Kingshighway St, Cape Girardeau, MO 63701-3506 | 2020-11-03 |
| 1619473493 | Brittany Estes | Counselor | 619 N Broadview St, Cape Girardeau, MO 63701-4313 | 2018-04-02 |
| 1598121931 | Andrew J Ebert | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2016-01-14 |
| 1598182537 | Warren Skinner | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2014-03-27 |
| 1417391129 | Robert E. Dale | Counselor | 1011 Oak Ridge Ct, Cape Girardeau, MO 63701-1711 | 2013-04-24 |
| 1225300171 | Richard Strait Jr. | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2012-02-07 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on TIMOTHY D. GOULD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.