Charlene Goren, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

357 Main St
Athol, MA 01331-2233

Phone

(978) 830-4120

Fax

(978) 830-4123

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1356768972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CENTURY WAY",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401268",
            "telephone_number": "617-967-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312233",
            "telephone_number": "978-830-4120",
            "fax_number": "978-830-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREN",
        "first_name": "CHARLENE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Mina Girouard
• Verne Michael Goldsher, DDS
• Tammy Lynn Goodgion
• Brian Gordon
• Peter N Gorlin, MD
• John A Gostan, PH.D.
• Diane E Grasso, NP
• Honnah Alyssa Griffith
• Nicole Guertin, LICSW

• Mental Health Counselor in Athol, MA
• Providers in Athol, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.