Individual provider Active NPI

Heidi Jo Goerzen, LSCSW

  • Clinical Social Worker
  • Hesston, KS
National Provider Identifier
1508350364
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05759 Issued in KS
Practice address
114 Commerce Dr
Hesston, KS 67062-8938
Phone
(620) 869-9986
NPI assigned
Jun 15, 2018
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05759 KS Primary

Addresses

Primary practice location

114 Commerce Dr
Hesston, KS 67062-8938

Mailing address

114 Commerce Dr
Hesston, KS 67062-8938
Phone (620) 869-9986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601002287 KS Practitioner - Clinical Social Worker 8628456712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Kansas Counseling LLCGroup PAC ID 2062867815, 9 clinicians

Practice addresses (Care Compare)

114 Commerce Dr
Hesston, KS 67062-8938
Phone (620) 869-9986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kansas Counseling LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

114 Commerce Dr
Hesston, KS 67062
Phone (620) 869-9986

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1508350364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 COMMERCE DR",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670628938",
            "telephone_number": "620-869-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 COMMERCE DR",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670628938",
            "telephone_number": "620-869-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERZEN",
        "first_name": "HEIDI",
        "middle_name": "JO",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesston, KS

Sources for this page

Verify at the official NPI Registry.