Individual provider Active NPI

Aviance Gooch, M.S, LCMHC-A

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1619764404
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3820 Merton Dr
Raleigh, NC 27609-6609
Phone
(919) 646-5783
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3820 Merton Dr
Raleigh, NC 27609-6609

Mailing address

7501 Cove Point Dr Apt 20
Raleigh, NC 27613-4916
Phone (919) 330-6133

Other practice location 1

7501 Cove Point Dr
Raleigh, NC 27613-3986
Phone (919) 330-6133

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1619764404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 COVE POINT DR APT 20",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134916",
            "telephone_number": "919-330-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 MERTON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096609",
            "telephone_number": "919-646-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Cove Point Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276133986",
            "country_code": "US",
            "telephone_number": "919-330-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "AVIANCE",
        "credential": "M.S, LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.