Alexa J Goffus, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10771 Issued in OH

Practice address

5156 Whipple Ave NW
Canton, OH 44718-2663

Phone

(330) 478-1752

Fax

(330) 478-1763

NPI assigned

Jun 19, 2012

Last updated

Jul 21, 2022By the provider in NPPES

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

Other identifiers 1

Other names 1

• Alexa J Baker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sandy Valley Local Schools

  • Local Education Agency (LEA)
  • Magnolia, OH
  • NPI 1013142629
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003179607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5362 STATE ROUTE 183",
            "city": "MAGNOLIA",
            "state": "OH",
            "postal_code": "44643",
            "telephone_number": "330-866-9225",
            "fax_number": "330-866-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182663",
            "telephone_number": "330-478-1752",
            "fax_number": "330-478-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFFUS",
        "first_name": "ALEXA",
        "middle_name": "J",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "10771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2930574",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "BAKER",
            "middle_name": "J",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn C Gnes, NP-C
• Julie M Goch, LPCC
• Sonya Doreen Goe, LPN
• Connie L Goehler, PCC
• Patricia Lohr Goetz, MD
• Arica Goffus
• Arjun Gogna, M.D.
• Ayesha Gohir, MD
• Golden Hearts Home Care, LLC
• Teresa Golden-McClelland

• Speech-Language Pathologist in Canton, OH
• Providers in Canton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.