STACY GOULBOURNE
NPI 1487306262
Counselor - Mental Health in Valley Stream, NY

Active since January 22, 2022
17 W MERRICK RD, VALLEY STREAM, NY 11580(516) 459-2920(516) 459-2020 Get Directions Write a Review

NPPES record last updated: January 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Goulbourne NPPES

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

STACY GOULBOURNE (NPI 1487306262) is an individual mental health provider in Valley Stream, New York and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1487306262
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACY GOULBOURNE
Location Address17 W MERRICK RDValley Stream, NY 11580-5701
Mailing Address17 W Merrick RdValley Stream, NY 11580-5701 · (516) 459-2920 · Fax (516) 459-2020
Fax(516) 459-2020
Sole ProprietorNo
Enumeration DateJanuary 22, 2022
NPPES CertifiedJanuary 16, 2022
NPI 1487306262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17 W MERRICK RD, Valley Stream, NY 11580

Other Providers at the Same Location NPPES 17

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

Counselor (Mental Health)
17 W MERRICK RD
VALLEY STREAM, NY 11580
Counselor (Mental Health)
17 W MERRICK RD
VALLEY STREAM, NY 11580
Counselor (Mental Health)
17 W MERRICK RD
VALLEY STREAM, NY 11580
Counselor (Mental Health)
17 W MERRICK RD
VALLEY STREAM, NY 11580
Counselor (Mental Health)
17 W MERRICK RD
VALLEY STREAM, NY 11580
Social Worker
17 W MERRICK RD
VALLEY STREAM, NY 11580
Counselor (Mental Health)
17 W MERRICK RD
VALLEY STREAM, NY 11580
Social Worker
17 W MERRICK RD
VALLEY STREAM, NY 11580

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 Stacy Goulbourne's NPI number?

The NPI number for Stacy Goulbourne is 1487306262. It was assigned to this individual provider in the NPPES registry on January 22, 2022.

Where is Stacy Goulbourne located?

Stacy Goulbourne practices at 17 W Merrick Rd, Valley Stream, NY 11580. The listed phone number is (516) 459-2920.

What is Stacy Goulbourne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacy Goulbourne was last updated on January 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.