Active NPI
Tara Gogolinski, MS, LCMFT
- Marriage & Family Therapist
- Crofton, MD
National Provider Identifier
1174867303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCM514
- Practice address
- 2431 Crofton LN
Suite 11
Crofton, MD 21114-1327 - Phone
- (410) 793-7207
- NPI assigned
- Nov 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCM514 | MD | Primary |
Addresses
Primary practice location
2431 Crofton LN
Suite 11
Crofton, MD 21114-1327
Mailing address
2431 Crofton LN Ste 11
Crofton, MD 21114-1327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2026 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCM514 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1174867303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 CROFTON LN STE 11",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 CROFTON LN",
"address_2": "SUITE 11",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141327",
"telephone_number": "410-793-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOGOLINSKI",
"first_name": "TARA",
"credential": "MS, LCMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-09",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LCM514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.