JOHN EDWARD GOUGH


Address: 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818
Phone: 8038984850

JOHN EDWARD GOUGH (NPI# 1386245710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386245710
Entity Type Individual
Full Name JOHN EDWARD GOUGH
Credential MHP
Practice Address 2715 Colonial Dr Bldg 200a
Columbia
SC 29203-6818
Mailing Address 114 Waterville Dr
Columbia
SC 29229-8141
Practice Telephone 8038984850
Mailing Telephone 8038658439
Enumeration Date 2020-11-03
Last Update Date 2020-11-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 20048848 05

Other Providers JOHN GOUGH

NPI Name Taxonomy Address Enumeration
1851470074 John Michael Gough Physical Therapist 6002 Highway 53 E, Suite 100, Dawsonville, GA 30534-6227 2006-11-06
1386636942 John E Gough Emergency Medicine 2100 Stantonsburg Rd, Ecu Physicians Emergency Physicians, Greenville, NC 27834-2818 2005-08-19

Office Location

Street Address 2715 COLONIAL DR BLDG 200A
City COLUMBIA
State SC
Zip Code 29203-6818

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
Find all providers in zip 29203

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750988804 Teresa Q Harris Counselor 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 2020-10-01
1407491830 Mariah Keathley Counselor 201 W Broadway Ste 2f, Columbia, MO 65203-3842 2019-11-08
1962058719 Lindsey Howard Counselor 610 Poplar St, Columbia, PA 17512-2101 2019-08-16
1174085138 Debra A Parker Counselor 100 Ashland Park Ln Ste K, Columbia, SC 29210-5100 2019-04-01
1881152817 Change Your Reality Counselor 729 True St Apt 3, Columbia, SC 29209-1659 2019-03-08
1104393487 Makida Bey Counselor 9850 Softwater Way, Columbia, MD 21046-1887 2018-10-25
1942788542 Holistic Health Advancements, LLC Counselor 9005 Two Notch Rd Ste 4, Columbia, SC 29223-5851 2018-08-06
1811483761 Live.balanced.life.llc Counselor 5305 Village Center Dr Ste 176, Columbia, MD 21044-2382 2018-07-03
1053811729 Sarah Ann Galatta Counselor 2024 Cherry Hill Dr # 201c, Columbia, MO 65203-5921 2018-02-19
1912405515 Alyssa Carter Counselor 610 Poplar Street, Columbia, PA 17512 2018-01-29
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

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.

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