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STACEY GOUGH LPN
NPI 1942612338
Licensed Practical Nurse in Xenia, OH

Active since May 20, 2014
452 W MARKET ST, XENIA, OH 45385(937) 376-8700(937) 376-8725 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Gough Lpn NPPES

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

STACEY GOUGH LPN (NPI 1942612338) is an individual licensed practical nurse in Xenia, Ohio, licensed in Ohio (PN142544MIV) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1942612338
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACEY GOUGHCredential: LPN
Location Address452 W MARKET STXenia, OH 45385-2815
Mailing Address452 W Market StXenia, OH 45385-2815 · (937) 376-8700 · Fax (937) 376-8725
Phone(937) 376-8700
Fax(937) 376-8725
Sole ProprietorNo
Enumeration DateMay 20, 2014
✔ NPI 1942612338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN142544MIV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
452 W MARKET ST, Xenia, OH 45385
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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.

NIKITA TRIMBLE
Counselor (Addiction (Substance Use Disorder))
452 W MARKET ST
XENIA, OH 45385
Greene County (937) 376-8700
ROBERT A LEVECK
Counselor (Addiction (Substance Use Disorder))
452 W MARKET ST
XENIA, OH 45385
Greene County (937) 532-9306
DYLAN SANDER
Case Manager/Care Coordinator
452 W MARKET ST
XENIA, OH 45385
Greene County (937) 376-8700
TCN BEHAVIORAL HEALTH SERVICES
Case Management
452 W MARKET ST
XENIA, OH 45385
Greene County (937) 376-8700
ALAN JEFFERIS LPC
Counselor (Mental Health)
452 W MARKET ST
XENIA, OH 45385
Greene County (937) 376-8700
RICHARD YOUNG LPC
Counselor
452 W MARKET ST
XENIA, OH 45385
Greene County (937) 376-8700
DALE GARRISON
Case Manager/Care Coordinator
452 W MARKET ST
XENIA, OH 45385
Greene County (937) 376-8700
JILLIAN VINCENT
Counselor
452 W MARKET ST
XENIA, OH 45385
Greene County (937) 376-8700

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 Stacey Gough's NPI number?

The NPI number for Stacey Gough is 1942612338. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Stacey Gough located?

Stacey Gough practices at 452 W Market St, Xenia, OH 45385. The listed phone number is (937) 376-8700.

What is Stacey Gough's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacey Gough was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.