Jennifer T Goss, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.013030 Issued in IL

Practice address

405 Washington Blvd
Mundelein, IL 60060-3104

Phone

(847) 566-0164

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Goss Professional name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Solutions, P.C.

  • Clinical Psychologist
  • Barrington, IL
  • NPI 1487891198
  Medicare reassignment NPD
• Goss Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marengo, IL
  • NPI 1306546684
  NPD Authorized official

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1326661885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INWOOD DR APT 110",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906710",
            "telephone_number": "847-401-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WASHINGTON BLVD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603104",
            "telephone_number": "847-566-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 N Arlington Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600046062",
            "country_code": "US",
            "telephone_number": "847-348-9294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSS",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178008121",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.013030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GOSS",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julie L Gange
• Gelena Roytman DDS LTD (Town Line Dental Care)
• Bela Glantsman, M.D.
• Karen M Gonzalez, M.S., CCC-SLP
• Nancy Watson Good, LCSW
• Greenhouse Counseling PLLC
• Jason Greenwood, DPT
• Thomas J Greist, DDS
• Colin Brian Guibault, M.S., CCC-SLP
• Krishnamurthy Gururajan, MD

• Mental Health Counselor in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.