Ellen Ammen Gooch, MSW

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

077240 Issued in NY

Practice address

93 Garden Dr
Oswego, NY 13126-6103

Phone

(910) 374-9225

NPI assigned

Sep 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Robeson County Committee on Domestic Violence

  dba Southeastern Family Violence Center

  • Voluntary or Charitable Agency
  • Lumberton, NC
  • NPI 1053505016
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1366637001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 GARDEN DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266103",
            "telephone_number": "910-374-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 GARDEN DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266103",
            "telephone_number": "910-374-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "ELLEN",
        "middle_name": "AMMEN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "077240",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "077240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gilmore
• Robert J. Glanz, PA-C
• Trinidi E Golden
• Kenneth Adam Goldstein
• Chelsea Michelle Goldthwait, P.T.A.
• Maryann Goodman, LPN
• Kevin Goodwin
• Brittany Gorelick
• Rebecca M Gould
• Thomas Austin Grady Jr., MD

• School Counselor in Oswego, NY
• Providers in Oswego, NY by specialty
• School Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.