Individual provider Active NPI

Mackenzie Faye Gohdes, MA, LPCC

  • Professional Counselor
  • Mankato, MN
National Provider Identifier
1477212926
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3092 Issued in MN
Practice address
151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815
Phone
(507) 386-7121
Fax
(507) 344-0690
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3092 MN Primary

Addresses

Primary practice location

151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815

Mailing address

151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815
Phone (507) 386-7121

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3092MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys Toward Healing Counseling Center LLC Mental Health CurrentSince Jan 29, 2023 Accepting new patients

Locations

151 Saint Andrews Ct
Ste 710
Mankato, MN 56001
Phone (507) 386-7121

915 S Front St
Mankato, MN 56001
Phone (507) 386-7121

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1477212926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHDES",
        "first_name": "MACKENZIE",
        "middle_name": "FAYE",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.