GOULNISSA OUTECHOVA LMHC
NPI 1881145415
Counselor - Mental Health in Jacksonville, FL
About Goulnissa Outechova Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOULNISSA OUTECHOVA LMHC (NPI 1881145415) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH11679) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
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
Goulnissa Outechova Lmhc 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
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 Goulnissa Outechova's NPI number?
The NPI number for Goulnissa Outechova is 1881145415. It was assigned to this individual provider in the NPPES registry on October 19, 2016.
Where is Goulnissa Outechova located?
Goulnissa Outechova practices at 5776 Saint Augustine Rd, Jacksonville, FL 32207. The listed phone number is (904) 448-4700.
What is Goulnissa Outechova's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Goulnissa Outechova enrolled in Medicare?
Yes. Goulnissa Outechova 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 Goulnissa Outechova accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Goulnissa Outechova 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 Goulnissa Outechova was last updated on July 18, 2019. 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.
# Goulnissa Outechova, LMHC · NPI 1881145415
Mental Health provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since October 19, 2016.
## Identity
- **NPI:** 1881145415 (Entity type: Individual)
- **Enumerated:** October 19, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH11679 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5776 SAINT AUGUSTINE RD, Jacksonville, FL 32207-8030
- **Phone:** (904) 448-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** July 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1881145415) · Data from the CMS NPPES public registry.