CLINTON R GHOLSON LPC
NPI 1457823734
Counselor - Professional in Canyon Lake, TX

Active since December 26, 2018PECOS EnrolledAccepts Medicare Assignment
650 SCARBOUROUGH, CANYON LAKE, TX 78133(830) 964-4390 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinton R Gholson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON R GHOLSON LPC (NPI 1457823734) is an individual professional provider in Canyon Lake, Texas, licensed in Texas (77796) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457823734
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCLINTON R GHOLSONCredential: LPC
Location Address650 SCARBOUROUGHCanyon Lake, TX 78133-4529
Mailing Address5447 Hawk Eye DrBulverde, TX 78163-2255 · (210) 392-9520
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 26, 2018
NPI 1457823734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 77796
650 SCARBOUROUGH, Canyon Lake, TX 78133

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clinton R Gholson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901245950
PECOS Enrollment IDI20240423003889
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
650 SCARBOUROUGH
CANYON LAKE, TX 78133
Counselor (Professional)
650 SCARBOUROUGH
CANYON LAKE, TX 78133
Social Worker (Clinical)
650 SCARBOUROUGH
CANYON LAKE, TX 78133
Counselor (Professional)
650 SCARBOUROUGH
CANYON LAKE, TX 78133
Residential Treatment Facility, Emotionally Disturbed Children
650 SCARBOUROUGH
CANYON LAKE, TX 78133
Counselor (Professional)
650 SCARBOUROUGH
CANYON LAKE, TX 78133
Counselor (Mental Health)
650 SCARBOUROUGH
CANYON LAKE, TX 78133
Counselor (Mental Health)
650 SCARBOUROUGH
CANYON LAKE, TX 78133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Gholson's NPI number?

The NPI number for Clinton Gholson is 1457823734. It was assigned to this individual provider in the NPPES registry on December 26, 2018.

Where is Clinton Gholson located?

Clinton Gholson practices at 650 Scarbourough, Canyon Lake, TX 78133. The listed phone number is (830) 964-4390.

What is Clinton Gholson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Clinton Gholson enrolled in Medicare?

Yes. Clinton Gholson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clinton Gholson accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and Molina Healthcare list Clinton Gholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Gholson was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.