Alysha Goheen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-78845 Issued in MT

Practice address

825 W Kent Ave
Missoula, MT 59801-6619

Phone

(406) 233-0230

Fax

(406) 813-2356

NPI assigned

Jan 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alysha Goheen Jannotta Former name

Medicare fee-for-service enrollment

Enrolled in MT

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 Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1083485536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3138",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598063138",
            "telephone_number": "406-360-7512",
            "fax_number": "406-813-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016619",
            "telephone_number": "406-233-0230",
            "fax_number": "406-813-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHEEN",
        "first_name": "ALYSHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-78845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSHA",
            "last_name": "JANNOTTA",
            "middle_name": "GOHEEN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Treasa Glinnwater, LCSW
• Steven David Glow, FNP
• Kelsey Jean Lyndes Glynn, MS, CCC-SLP
• Donald E Goeke, PHD, LCSW
• Anisa N Goforth, PHD, NCSP
• Golden Opportunities, LLC
• Coltin Jarrett Golden, DC
• Quina Goldsby
• Sara L Goldstein
• Caitlin M.E. Golins, LMT

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.