Individual provider Active NPI

Tina Marie Goess, L.I.C.S.W.

  • Clinical Social Worker
  • Inver Grove Heights, MN
National Provider Identifier
1669815643
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14534 Issued in MN
Practice address
5874 Blackshire Path
Inver Grove Heights, MN 55076-1621
Phone
(612) 239-6262
Fax
(651) 774-9576
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Psychoanalysis Psychologist 103TP0814X
Cognitive & Behavioral Psychologist 103TB0200X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Health Psychologist 103TH0004X
Mental Health Counselor 101YM0800X
Group Psychotherapy Psychologist 103TP2701X
Clinical Child & Adolescent Psychologist 103TC2200X
Clinical Social Worker 1041C0700X 14534 MN Primary

Addresses

Primary practice location

5874 Blackshire Path
Inver Grove Heights, MN 55076-1621

Mailing address

1424 Vince TRL
Eagan, MN 55121-3100
Phone (612) 239-6262

Other identifiers 2

IdentifierTypeStateIssuer
1669815643MedicaidMN
VN000088953001MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130627000621 MN Practitioner - Clinical Social Worker 7517107311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5878 Blackshire Path
Inver Grove Heights, MN 55076-1621
Phone (612) 239-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit in Bloom, LLC CurrentSince Sep 20, 2012 Accepting new patients

Locations

4141 Old Sibley Memorial Hwy
#H
Eagan, MN 55122
Phone (218) 341-9208

5878 Blackshire Path
Inver Grove Heights, MN 55076
Phone (612) 239-6262

5874 Blackshire Path
Inver Grove Heights, MN 55076
Phone (612) 239-6262

4141 Old Sibley Memorial Hwy
Saint Paul, MN 55122
Phone (612) 578-7916

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1669815643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 VINCE TRL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213100",
            "telephone_number": "612-239-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5874 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761621",
            "telephone_number": "612-239-6262",
            "fax_number": "651-774-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOESS",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669815643",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VN000088953001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

Verify at the official NPI Registry.