Individual provider Active NPI

Heather L Goochey, MS, LPCC

  • Mental Health Counselor
  • Blaine, MN
National Provider Identifier
1215233309
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC00289 Issued in MN
Practice address
12067 Dunkirk St NE
Blaine, MN 55449-7501
Phone
(218) 851-0571
NPI assigned
Feb 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC00289 MN Primary

Addresses

Primary practice location

12067 Dunkirk St NE
Blaine, MN 55449-7501

Mailing address

12067 Dunkirk St NE
Blaine, MN 55449-7501
Phone (218) 851-0571

Other identifiers 1

IdentifierTypeStateIssuer
1215233309MedicaidMN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240111002655 MN Practitioner - Mental Health Counselor 8022469246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
CC00289MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goochey Counseling, LLC CurrentSince May 11, 2025 Accepting new patients
Rush Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

7362 University Ave NE
Ste 307
Fridley, MN 55432
Phone (651) 439-2059

1751 Tower Dr W
Ste 200
Stillwater, MN 55082
Phone (651) 439-2059

Organizations & group practices 2

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1215233309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12067 DUNKIRK ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497501",
            "telephone_number": "218-851-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12067 DUNKIRK ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497501",
            "telephone_number": "218-851-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCHEY",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215233309",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

Verify at the official NPI Registry.