Individual provider Active NPI

Jocelyn Gouchenour

  • Massage Therapist
  • Great Falls, MT
National Provider Identifier
1407557549
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
24692 Issued in MT
Practice address
92 Lake Flat LN
Great Falls, MT 59404-6029
Phone
(406) 402-6462
NPI assigned
Mar 15, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 24692 MT Primary

Addresses

Primary practice location

92 Lake Flat LN
Great Falls, MT 59404-6029

Mailing address

92 Lake Flat LN
Great Falls, MT 59404-6029
Phone (406) 402-6462

Other practice location 1

1308 12th Ave S
Great Falls, MT 59405-4607
Phone (406) 453-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24692MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beautifully Well PLLC Massage Therapist Current Accepting new patients
Beautifully Well PLLC Massage Therapist Current Accepting new patients

Locations

1601 2nd Ave N
Ste 516
Great Falls, MT 59401
Phone (406) 285-1007

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1407557549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 LAKE FLAT LN",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046029",
            "telephone_number": "406-402-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 LAKE FLAT LN",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046029",
            "telephone_number": "406-402-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 12th Ave S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594054607",
            "country_code": "US",
            "telephone_number": "406-453-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUCHENOUR",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "24692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.