Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton R Gholson, LPC

Individual provider Professional Counselor · NPI 1457823734

Clinton R Gholson, LPC is a Mental Health Counselor in Canyon Lake, Texas. Qualified in 2016, 10 years ago. Practices with Anmed Health, a 348-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

650 Scarbourough
Canyon Lake, TX 78133-4529
Phone: (830) 964-4390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 77796 (TX)

Record details

NPI number1457823734
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 26, 2018
Last updated in NPPESDecember 26, 2018
Mailing address5447 Hawk Eye Dr, Bulverde, TX 78163-2255

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Anmed Health — 348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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