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DOMINIC GOULD MA, LPC
NPI 1659847523
Counselor - Mental Health in Lebanon, PA

Active since October 18, 2018Opted out of Medicare · through Apr 4, 2027
283 BUTLER RD, LEBANON, PA 17042(717) 659-9045 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominic Gould Ma, Lpc NPPES

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

DOMINIC GOULD MA, LPC (NPI 1659847523) is an individual mental health provider in Lebanon, Pennsylvania, licensed in Pennsylvania (PC010804) and active in the NPI registry since October 2018. He has opted out of Medicare through April 4, 2027.

NPPES Registry Identity

NPI1659847523
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIC GOULDCredential: MA, LPC
Location Address283 BUTLER RDLebanon, PA 17042-8939
Mailing Address226 Greenland DrLancaster, PA 17602-3300 · (717) 659-9045
Phone(717) 659-9045
Sole ProprietorYes
Enumeration DateOctober 18, 2018
✔ NPI 1659847523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · PC010804
283 BUTLER RD, Lebanon, PA 17042
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dominic Gould Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 4, 2025 through April 4, 2027.

Opt-Out Effective DateApril 4, 2025
Opt-Out In Effect ThroughApril 4, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

JENNA ROSE MCFARLAN MA
Student in an Organized Health Care Education/Training Program
283 BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 273-8871

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 Dominic Gould's NPI number?

The NPI number for Dominic Gould is 1659847523. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Dominic Gould located?

Dominic Gould practices at 283 Butler Rd, Lebanon, PA 17042. The listed phone number is (717) 659-9045.

What is Dominic Gould's specialty?

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

Is Dominic Gould enrolled in Medicare?

No. Dominic Gould has opted out of Medicare through April 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dominic Gould was last updated on October 18, 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.