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Amanda Gould , RBT

Counselor β€’ Moore, OK

Active NPI 1720662026 Individual Practitioner Female Practitioner
Practice location in NPPES

620 Nw 5th St Ste D
Moore, OK 731603947

Call 4052084469 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

620 Nw 5th St Ste D

Moore, OK 731603947

Telephone 4052084469
Fax 4052084472
Organization at the Same NPPES Address or Phone
Integrated Therapy Solutions Of Oklahoma, Llc Facility NPI 1659855278

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Moore and Oklahoma

85 active clinicians are listed under Counselor with a practice address in Moore, OK (4,434 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Moore

0% of these 85 clinicians have the CMS telehealth indicator.

0% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-16
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 16, 2023

Registered at 620 NW 5TH ST STE D, MOORE, OK 731603947 (Tel: 4052084469)

πŸ“
Updated Business Mailing Address November 16, 2023

Registered at 620 NW 5TH ST STE D, MOORE, OK 731603947 (Tel: 4052084469)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2023

Counselor

βœ…
NPI Profile Active May 12, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 12, 2021

Registered at 2405 PALMER CIR STE 100, NORMAN, OK 730696351 (Tel: 4055617928)

πŸ“
Business Mailing Address (Initial Record) May 12, 2021

Registered at 2405 PALMER CIR STE 100, NORMAN, OK 730696351 (Tel: 4055617928)

πŸ‘€
Provider Name / Credentials (Initial Record) May 12, 2021

Recorded as AMANDA GOULD, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2021

Behavior Technician (license number reported to NPPES: OK RBT-21-166764)

🟒
Initial NPI Registration & Enumeration May 12, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720662026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2021
Last Update: November 16, 2023
Sole Proprietor: Yes

Mailing Address

620 Nw 5th St Ste D

Moore, OK 731603947

Phone: 4052084469

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.