Thomas John Gozinske, LPC-IT
Individual provider Active NPI Professional Counselor · Muscoda, WI
NPI 1477058519 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1477058519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 10539-125 (WI)
- Practice address
- 746 State Road 133
Muscoda, WI 53573-8850 - Phone
- (608) 604-4510
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10539-125 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10539-125 | WI | Yes |
Addresses
Primary practice location
746 State Road 133
Muscoda, WI 53573-8850
Mailing address
746 State Road 133
Muscoda, WI 53573-8850
Phone (608) 604-4510
Other practice location 1
23291 County Hwy AA
Richland Center, WI 53581-6305
Phone (608) 647-2222
Other providers in Muscoda, WI
- Corner Drug Store, Inc Dba Muscoda Prescription Services
- Sara Droessler
- Dycora Transitional Health - Riverdale, LLC
- Cynthia Foreman
- Amy J. Franklin
- Lorilee Kay Hooks
- Kayla Kathryn Knowles
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel
- Christina A Miess
All providers in Muscoda, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.