Active NPI
Geoffrey Michael Goheen, CAS
- Addiction (Substance Use Disorder) Counselor
- Pueblo, CO
National Provider Identifier
1295050839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0997991
- Practice address
- 375 W Abriendo Ave.
Pueblo, CO 81004-1001 - Phone
- (719) 621-1929
- Fax
- (719) 621-4974
- NPI assigned
- Apr 6, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0997991 | CO | Primary |
Addresses
Primary practice location
375 W Abriendo Ave.
Pueblo, CO 81004-1001
Mailing address
275 W Abriendo Ave.
Pueblo, CO 81004-1001
Phone (719) 621-1929
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0997991 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Treatment Services LLC | Addiction (Substance Use Disorder) | Past | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Colorado Springs, CO
- NPI 1740426808
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1295050839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W ABRIENDO AVE.",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041001",
"telephone_number": "719-621-1929",
"fax_number": "719-621-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 W ABRIENDO AVE.",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041001",
"telephone_number": "719-621-1929",
"fax_number": "719-621-4974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOHEEN",
"first_name": "GEOFFREY",
"middle_name": "MICHAEL",
"credential": "CAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-06",
"last_updated": "2024-10-31",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "0997991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.