Julie Ann Gotsch, CMHC- MS, LPC-IT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7895-226 Issued in WI

Practice address

826 Main St Ste 1
Union Grove, WI 53182-1047

Phone

(262) 864-5045

NPI assigned

Jun 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Balance of Mind Counseling and Behavioral Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Union Grove, WI
  • NPI 1891359840
  NPD (past)

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1295577617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MAIN ST STE 1",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821047",
            "telephone_number": "262-864-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MAIN ST STE 1",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821047",
            "telephone_number": "262-864-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTSCH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "CMHC- MS, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7895-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Kline Fernandes, MD
• Kristin Fields
• Amanda Fontenot, DPT
• Gallina Health Care Network, LTD
• Michael Joseph Gillen, PH.D.
• Maria Graham
• Stephen E Graham, D.V.M.
• H.O.P.E. Day Services LLC
• Daniel J Haller, MD
• Cory Harpe

• Mental Health Counselor in Union Grove, WI
• Providers in Union Grove, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.