Active NPI
John Morris Goeke, PH.D.
- Counseling Psychologist
- High Point, NC
National Provider Identifier
1689695975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1813
- Practice address
- 606 N Elm St
High Point, NC 27262-4332 - Phone
- (336) 889-8877
- Fax
- (336) 889-3488
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1813 | NC | Primary |
Addresses
Primary practice location
606 N Elm St
High Point, NC 27262-4332
Mailing address
624 Quaker LN
Suite 207 C
High Point, NC 27262-3832
Phone (336) 883-2500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198456 | Other | MEDCOST | |
| 42339 | Other | PARTNERS | |
| 159642 | Other | UNITED BEHAVORIAL HEALTH | |
| 0341H | Other | BCBS | |
| 6000824 | Medicaid | NC | |
| 5714410 | Other | AETNA | |
| 6005881 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Interoperability endpoints
- jgoeke117172@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1689695975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 QUAKER LN",
"address_2": "SUITE 207 C",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623832",
"telephone_number": "336-883-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N ELM ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624332",
"telephone_number": "336-889-8877",
"fax_number": "336-889-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEKE",
"first_name": "JOHN",
"middle_name": "MORRIS",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "1813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "198456",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "42339",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVORIAL HEALTH",
"identifier": "159642",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0341H",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000824",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5714410",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005881",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.