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JAY EZRA GOLD LICSW, LADC
NPI 1871316547
Social Worker - Clinical in Edina, MN

Active since November 01, 2024PECOS Enrolled
7301 OHMS LN STE 450, EDINA, MN 55439(612) 605-8820 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jay Ezra Gold Licsw, Ladc NPPES

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

JAY EZRA GOLD LICSW, LADC (NPI 1871316547) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (13202) and active in the NPI registry since November 2024. The provider is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871316547
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameJAY EZRA GOLDCredential: LICSW, LADC
Location Address7301 OHMS LN STE 450Edina, MN 55439-2339
Mailing Address7301 Ohms Ln Ste 450Edina, MN 55439-2339 · (612) 605-8820
Phone(612) 605-8820
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 1, 2024
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1871316547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 13202
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306430 (MN)
7301 OHMS LN STE 450, Edina, MN 55439
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay Ezra Gold Licsw, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557896289
PECOS Enrollment IDI20241119000492
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.

Medicare Billing Reassignment

Medicare enrollment records show Jay Gold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cabot Psychological Services, PLLC
0.1 mi
Community/Behavioral Health
7400 METRO BLVD, SUITE 216
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • 21 clinicians in this Medicare group
NPI 1326354432 (952) 831-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMANDA MULFINGER
Psychologist (Clinical)
7301 OHMS LN STE 450
EDINA, MN 55439
Hennepin County (952) 831-2000
DR. KIRSTEN MARIE PETERSON MCKONE PHD
Psychologist (Clinical)
7301 OHMS LN STE 450
EDINA, MN 55439
Hennepin County (952) 831-2000
MR. KYLE J SLAWSON LPCC, LADC
Counselor (Professional)
7301 OHMS LN STE 450
EDINA, MN 55439
Hennepin County (952) 831-2000
TALIA SINGER LICSW
Social Worker (Clinical)
7301 OHMS LN STE 450
EDINA, MN 55439
Hennepin County (763) 772-7368
TAYLOR LYNN NELSON MA
Counselor (Mental Health)
7301 OHMS LN STE 450
MINNEAPOLIS, MN 55439
Hennepin County (952) 831-2000
THE RECOVERY THERAPIST
Marriage & Family Therapist
7301 OHMS LN STE 450
EDINA, MN 55439
Hennepin County (415) 779-5506
ALISON VOGELSANG
Psychologist
7301 OHMS LN STE 450
EDINA, MN 55439
Hennepin County (952) 831-2000
BARBARA A SCHNICHELS MSSW, ACSW, LICSW
Social Worker (Clinical)
7301 OHMS LN STE 450
EDINA, MN 55439
Hennepin County (952) 831-2000

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 Jay Gold's NPI number?

The NPI number for Jay Gold is 1871316547. It was assigned to this individual provider in the NPPES registry on November 1, 2024.

Where is Jay Gold located?

Jay Gold practices at 7301 Ohms Ln Ste 450, Edina, MN 55439. The listed phone number is (612) 605-8820.

What is Jay Gold's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jay Gold enrolled in Medicare?

Yes. Jay Gold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay Gold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Gold reassigns Medicare benefits to Cabot Psychological Services, PLLC (Edina, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Gold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jay Gold was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.