MS. AMY LYNN GOULD (NPI# 1639342421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639342421 |
| Entity Type | Individual |
| Full Name | MS. AMY LYNN GOULD |
| Credential | LPCC-S |
| Practice Address |
3659 S Green Rd 101 Beachwood OH 44122-5715 |
| Mailing Address |
3659 Green Rd Ste 101 Beachwood OH 44122-5715 |
| Practice Telephone | 2164017433 |
| Practice Fax Number | 8558601978 |
| Mailing Telephone | 2164017433 |
| Mailing Fax Number | 8558601978 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
E.0602179 | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
E0602179 SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0279728 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841253960 | Amy Ralynn Gould | Specialist/Technologist | 10095 Brick Church Rd, Cambridge, OH 43725-8550 | 2006-04-10 |
| 1093351744 | Amy Gould | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-11-18 |
| 1750855433 | Amy Kristina Gould | Case Manager/Care Coordinator | 326 Croton Rd, Melbourne, FL 32935-6340 | 2019-01-16 |
| 1811469125 | Amy Gould | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-27 |
| 1063832657 | Amy Gould | Behavioral Analyst | 4850 Madison Rd, Cincinnati, OH 45227-1428 | 2014-04-22 |
| Street Address |
3659 S GREEN RD 101 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075327 | Danielle Sharice Wilson | Counselor | 21400 Chagrin Blvd, Beachwood, OH 44122-5308 | 2020-02-18 |
| 1124565924 | Caitlin Marie Urdiales | Counselor | 3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343 | 2017-01-31 |
| 1568815462 | Lauren M Corsillo | Counselor | 2000 Aurburn Drive, Beachwood, OH 44122 | 2016-07-15 |
| 1992172290 | Noelle Chappelle Zamudio | Counselor | 24100 Chagrin Blvd Ste 370, Beachwood, OH 44122-5535 | 2015-08-21 |
| 1790181832 | Natalie Boyle | Counselor | 417 Barnegat Blvd, Beachwood, NJ 08722-4101 | 2014-11-18 |
| 1538430103 | Angelia Monet Worley | Counselor | 24100 Chagrin Blvd Ste 125, Beachwood, OH 44122 | 2012-01-13 |
| 1538439260 | Tara Nicole Haas | Counselor | 3681 Green Rd Ste 404, Beachwood, OH 44122-5716 | 2012-01-11 |
| 1366712408 | Amy Deeds | Counselor | 24100 Chagrin Boulevard, Suite 400, Beachwood, OH 44122 | 2012-01-06 |
| 1538280433 | Rose Marie Fantelli | Counselor | 23875 Commerce Park Ste 130, Beachwood, OH 44122-5805 | 2007-04-02 |
| 1477630044 | Heather Michelle Wendling | Counselor | 23210 Chagrin Blvd Suite 400, North East Ohio Health Services, Beachwood, OH 44122-5429 | 2006-11-01 |
| Find all providers in BEACHWOOD | ||||
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| 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.