Laura L Goergen, LPC, CSAC, CSW, ICS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4221-125 Issued in WI

Practice address

1415 Merrill Ave Ste 210
Wausau, WI 54401-2636

Phone

(715) 680-0608

Fax

(715) 907-1062

NPI assigned

Oct 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1689909335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MERRILL AVE STE 210",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012636",
            "telephone_number": "715-680-0608",
            "fax_number": "715-907-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MERRILL AVE STE 210",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012636",
            "telephone_number": "715-680-0608",
            "fax_number": "715-907-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Merrill Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544013427",
            "country_code": "US",
            "telephone_number": "715-675-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Lake View Dr",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544036799",
            "country_code": "US",
            "telephone_number": "715-848-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERGEN",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "LPC, CSAC, CSW, ICS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "9182-120",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4221-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Gliszinski, CSFA
• Morgan Lynn Glodowski
• Rosita S Go, MD
• Lindsey Dawn Goddard, M.D.
• Adam Christopher Godsey
• Erin Leigh Goga, O.D.
• Raymond M Goga, OD
• Dawn Marie Goldade
• Harold Jonathan Goldstein, MD
• Rebekah Goldston, APSW

• Professional Counselor in Wausau, WI
• Providers in Wausau, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.