PAUL A GOULET LCSW NPI 1659512275

NPI Information

NPI: 1659512275
Provider Name: PAUL A GOULET, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
500 VICTORY RD
QUINCY, MA
ZIP 02171
Phone: (617) 847-1926
Get Directions

Paul A Goulet, LCSW is a mental health counselor in Quincy, MA. Paul A Goulet, LCSW NPI is 1659512275. 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:

500 VICTORY RD
QUINCY, MA
ZIP 02171-139
Phone: (617) 847-1926

The NPI 1659512275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/11/2009 and was last updated on 8/4/2016.

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	101YM0800X	Counselor	Mental Health	217985	MASSACHUSETTS	No
2	101YM0800X	Counselor	Mental Health	413252	MASSACHUSETTS	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	1312677	MEDICAID	MASSACHUSETTS
2	M20807	MEDICARE PIN	MASSACHUSETTS
3	M18708	OTHER	MASSACHUSETTS	BLUE CROSS
4	685661	OTHER	MASSACHUSETTS	TUFTS
5	1004370	OTHER	MASSACHUSETTS	NHP

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: 4/28/2024

NPI Synchronization or Removal

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