Individual provider Active NPI

Katie Gooch, LMFT

  • Marriage & Family Therapist
  • American Fork, UT
National Provider Identifier
1013568732
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10113484-3902 Issued in UT
Practice address
384 E 60 S
American Fork, UT 84003-3835
Phone
(801) 901-0279
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10113484-3902 UT
Marriage & Family Therapist 106H00000X 10113484-3902 UT Primary

Addresses

Primary practice location

384 E 60 S
American Fork, UT 84003-3835

Mailing address

377 E 60 S Lowr Unit
American Fork, UT 84003-3835
Phone (801) 500-0576

Other practice location 1

377 E 60 S Lowr Unit
American Fork, UT 84003-3835
Phone (801) 500-0576

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL utahfamilytherapy.com
CONNECT URL iamnottheproblem.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20250612001748 UT Practitioner - Marriage and Family Therapist 5698285179 Practice locations: American Fork, UT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

377 E 60
American Fork, UT 84003-3835
Phone (801) 500-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10113484-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympus Ink Systems Mental Health PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1013568732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 E 60 S LOWR UNIT",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033835",
            "telephone_number": "801-500-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E 60 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033835",
            "telephone_number": "801-901-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 E 60 S Lowr Unit",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840033835",
            "country_code": "US",
            "telephone_number": "801-500-0576",
            "fax_number": "877-440-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "KATIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10113484-3902",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "10113484-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "utahfamilytherapy.com",
            "affiliation": "N",
            "address_1": "384 E 60 S",
            "city": "American Fork",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840033835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "iamnottheproblem.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "377 E 60 S Lowr Unit",
            "city": "American Fork",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840033835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.