Allison Benton Goss, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ALLISON BENTON GOSS, LLC

Practice address

1400 Carlisle Blvd NE
Suite a
Albuquerque, NM 87110-5667

Phone

(505) 266-2997

Fax

(505) 266-3063

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Allison Benton Goss, LISWNPI 1326112442

Title

Member

Phone

(505) 266-2997

Specialties & licenses 2

Addresses

Other names 1

• Allison L Benton, LISW Former legal business name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Benton Goss, LISW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1326112442
  Medicare reassignment NPD Authorized official
• Beth L Roth, PH.D.

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1811903859
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1679710677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CARLISLE BLVD NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105667",
            "telephone_number": "505-266-2997",
            "fax_number": "505-266-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CARLISLE BLVD NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105667",
            "telephone_number": "505-266-2997",
            "fax_number": "505-266-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON BENTON GOSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "BENTON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-266-2997",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allison L Benton, LISW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allergy and Asthma Center
• Allergy Partners, PLLC
• Sidney T Alley, OT
• Allheart Home Health Care, LLC.
• Christopher Richard Alliman, MD
• Bria Allison
• Carrie Lynn Allison, PMHNP-BC
• David Peter Allison, M.D.
• Deborah Allison
• Jonathan Allison, MA, LMHC

• Adolescent and Children Mental Health Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adolescent and Children Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.