DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JAYLYN S GOUGH LLMSW

MEDICARE: JAYLYN S GOUGH LLMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1760842553
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLYN S GOUGH LLMSW
Provider Business Mailing Address
First Line : 1143 PORTLAND PL
Second Line : #4
City : BOULDER
State : CO
Zip : 80304-8217
Country : US
Telephone Number : 720-749-3527
Fax Number :
Provider Business Practice Location Address
First Line : 1501 YARMOUTH AVE
Second Line :
City : BOULDER
State : CO
Zip : 80304-0564
Country : US
Telephone Number : 303-786-9314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2016
Last Update Date : 12/18/2025

Similar Medicare Providers

1346307725 — MR. JOSEPH S KLEIN M.A. , LPC
Practice Location Address:
1503 YARMOUTH AVE
BOULDER, CO
80304-0564
Practice Phone: 303-448-0613
Practice Fax: 303-258-0263
1710036132 — MRS. JUDITH CASS HALLORAN LPC
Practice Location Address:
1501 YARMOUTH AVE
BOULDER, CO
80304-0564
Practice Phone: 303-786-9314
Practice Fax:
1669650065 — WINDHORSE COMMUNITY SERVICES
Practice Location Address:
1501 YARMOUTH AVE
BOULDER, CO
80304-0564
Practice Phone: 303-786-9314
Practice Fax:
1144618554 — CHARLES KNAPP
Practice Location Address:
1501 YARMOUTH AVE
BOULDER, CO
80304-0564
Practice Phone: 303-786-9314
Practice Fax:
1871981134 — POLLY BANERJEE GALLAGHER
Practice Location Address:
1501 YARMOUTH AVE
BOULDER, CO
80304-0564
Practice Phone: 303-786-9314
Practice Fax:
1083002349 — MICHAEL LEVY
Practice Location Address:
1501 YARMOUTH AVE
BOULDER, CO
80304-0564
Practice Phone: 203-668-9791
Practice Fax:

Directions to “ JAYLYN S GOUGH LLMSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.