Joshua Andrew Gotlib, MS, LPC, CADC III

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C6273 Issued in OR

Practice address

132 E Broadway Ste 730
Eugene, OR 97401-3160

Phone

(541) 357-9433

NPI assigned

Sep 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Insight Northwest Behavioral Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1295389302
  NPD Authorized official
• Insight Northwest Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eugene, OR
  • NPI 1992411052
  NPD Authorized official
• Olympic Mental Health

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1154018372
  NPD Authorized official

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1326718990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 MILLRACE DR STE 202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032536",
            "telephone_number": "541-357-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 730",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013160",
            "telephone_number": "541-357-9433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 Millrace Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974032536",
            "country_code": "US",
            "telephone_number": "541-203-0539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTLIB",
        "first_name": "JOSHUA",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, CADC III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500826657",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian S. Gorrin, LCSW
• Jennifer Ann Gorrin
• Kristin Joy Goss
• Brittany Gossard
• Bertrand Richard Gosselin
• Felix Achille Gouanette Tankeu, DNP, FNP- BC
• Candace Gouge, MS, CCC-SLP
• Megan Gough-Piazza
• Frederick Gouldner
• Blake Gowen, PSS

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.