Active NPI
Alisha Ann Gocke
- Professional Counselor
- Boulder, CO
National Provider Identifier
1245958925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0023995
- Practice address
- 4790 Table Mesa Drive
Suite 108
Boulder, CO 80305-5660 - Phone
- (720) 263-0334
- NPI assigned
- Aug 18, 2022
- Reactivated
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0023995 | CO | Primary |
Addresses
Primary practice location
4790 Table Mesa Drive
Suite 108
Boulder, CO 80305-5660
Mailing address
13499 Marion St
Thornton, CO 80241
Phone (303) 884-1326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1245958925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13499 MARION ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "80241",
"telephone_number": "303-884-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4790 TABLE MESA DRIVE",
"address_2": "SUITE 108",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055660",
"telephone_number": "720-263-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOCKE",
"first_name": "ALISHA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"deactivation_date": "2023-10-09",
"reactivation_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0023995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.