Rebecca Goffman, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5120 Issued in MN

Practice address

9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019

Phone

(763) 225-4052

NPI assigned

Aug 13, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midwest Recovery, IncGroup PAC ID 3476076712, 6 clinicians

Volunteers of America MN/WiGroup PAC ID 8123050259, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Recovery, Inc

  • Substance Abuse Rehabilitation Facility
  • Bloomington, MN
  • NPI 1801268354
  Medicare reassignment Care Compare group NPD
• Volunteers of America MN/Wi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Hope, MN
  • NPI 1093769572
  Medicare reassignment Care Compare group NPD
• Catalyst Mental Health, GBC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1134490147
  Medicare reassignment
• Volunteers of America MN/Wi

  • Community/Behavioral Health Agency
  • New Hope, MN
  • NPI 1548436090
  NPD
• Volunteers of America of MN

  • Clinical Social Worker
  • Golden Valley, MN
  • NPI 1689743916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1003048885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 METRO BLVD STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393057",
            "telephone_number": "763-945-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 255",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283019",
            "telephone_number": "763-225-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 Metro Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554393079",
            "country_code": "US",
            "telephone_number": "952-945-4092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2970 Judicial Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553377822",
            "country_code": "US",
            "telephone_number": "952-224-8990",
            "fax_number": "952-224-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFFMAN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marita K Glasgow, LMFT
• Daniel Benjamin Goldschmidt, MT-BC
• Ryan Goman, LICSW
• Adam Kurt Gorsetman, MA LPCC
• Emily Rebecca Gralinski
• Grand St. Paul CVS LLC

• Clinical Psychologist in New Hope, MN
• Providers in New Hope, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.