Active NPI
Lindsey Sarah Goergen, LMHC
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1649007949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39005076A
- Practice address
- 6507 Ferguson St Ste 201
Indianapolis, IN 46220-0019 - Phone
- (317) 331-6202
- NPI assigned
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39005076A | IN | Primary |
Addresses
Primary practice location
6507 Ferguson St Ste 201
Indianapolis, IN 46220-0019
Mailing address
7604 Micawber Cir
Indianapolis, IN 46256-4007
Phone (317) 331-6202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39005076A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1649007949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7604 MICAWBER CIR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564007",
"telephone_number": "317-331-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6507 FERGUSON ST STE 201",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462200019",
"telephone_number": "317-331-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERGEN",
"first_name": "LINDSEY",
"middle_name": "SARAH",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39005076A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.