John Goris

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E. 0002873 Issued in OH

Practice address

1625 S Alex Rd
Dayton, OH 45449-5404

Phone

(937) 657-9154

Fax

(937) 949-6154

NPI assigned

Mar 3, 2016

Sex

Male

Sole proprietor

No

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

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Goris Counseling and Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miamisburg, OH
  • NPI 1265024459
  NPD Authorized official
• Goris Counseling and Consulting, LLC

  • Mental Health Counselor
  • Englewood, OH
  • NPI 1558900811
  NPD Authorized official
• Rachel & Friends, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • West Carrollton, OH
  • NPI 1912719097
  NPD Authorized official
• Nova Behavioral Health, Inc.

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1164782017
  NPD (past) Authorized official
• Nova Behavioral Health, Inc

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1548217748
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1407216476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S ALEX RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454495404",
            "telephone_number": "937-657-9154",
            "fax_number": "937-949-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S ALEX RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454495404",
            "telephone_number": "937-657-9154",
            "fax_number": "937-949-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIS",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0019636",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E. 0002873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas A. Gordon, M.D.
• Jacqueline Ann Gordon
• Rachel Anne Gordon, PA
• Ashlee Tannehill Gore
• Lee Pearson Gore
• Leva Gorji, DO
• Stephen Gorman, PH.D., CCC-SLP
• Mary Ruth Gorniak, CNM, FNP
• Robyn R Gosbee
• Cody Gosnell

• Mental Health Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.