Tracy Lynn Goergen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

7902 168TH Ave NE Ste 101
Redmond, WA 98052-4445

Phone

(425) 996-8592

NPI assigned

Jan 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lightheart Associates PS

  • Psychologist
  • Redmond, WA
  • NPI 1609221720
  NPD
• Dr. Kathleen Worsley

  • Counseling Psychologist
  • Redmond, WA
  • NPI 1619484821
  NPD (past)

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1508579541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12433 ADMIRALTY WAY APT G407",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048047",
            "telephone_number": "805-816-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 168TH AVE NE STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524445",
            "telephone_number": "425-996-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERGEN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GJSC, LLC
• Kayla Leanne Gladem-West
• Stephen Andrew Glenn, BA, RC
• Kamil D Glover
• Cecilia Marie Goedert, MA CCC-SLP
• Gold'S Health & Performance
• Jeanne Goldbloom, OTR
• Jon-Erik Golob, MS, OTR/L
• Faith Maryanne Golomb
• Kimberly Kay Gomersall, M.S., CCC-SLP

• Marriage & Family Therapist in Redmond, WA
• Providers in Redmond, WA by specialty
• Marriage & Family Therapist in Washington

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