JOHN EDWARD GOUGH MHP NPI 1386245710

NPI Information

NPI: 1386245710
Provider Name: JOHN EDWARD GOUGH, MHP
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2715 COLONIAL DR BLDG 200A
COLUMBIA, SC
ZIP 29203
Phone: (803) 898-4850
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John Edward Gough, MHP is a counselor in Columbia, SC. The provider is 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. John Edward Gough, MHP NPI is 1386245710. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2715 COLONIAL DR BLDG 200A
COLUMBIA, SC
ZIP 29203-818
Phone: (803) 898-4850

The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/3/2020.

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				Yes
2	101YM0800X	Counselor	Mental Health			No

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	20048848	MEDICAID	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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