Michelle Goewert, MED, PLBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2019007225 Issued in MO

Practice address

4051 Jeffco Blvd Ste 3
Arnold, MO 63010-4261

Phone

(636) 223-0070

Fax

(636) 323-2042

NPI assigned

Mar 22, 2019

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Auer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Owl Therapy Services LLC

  • Behavior Analyst
  • Arnold, MO
  • NPI 1942815360
  NPD
• Sunnyhill, Inc.

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1992256945
  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1780144022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WESTWIND ESTATES LN",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881514",
            "telephone_number": "314-600-2782",
            "fax_number": "314-845-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 JEFFCO BLVD STE 3",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630104261",
            "telephone_number": "636-223-0070",
            "fax_number": "636-323-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEWERT",
        "first_name": "MICHELLE",
        "credential": "MED, PLBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2019007225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "AUER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackenzie Elizabeth Giorgi, PT, DPT
• Michael Glines, M.D.
• Mia Glover, FNP-C
• Mallory Gocken
• Donald Patrick Goeller, M.D.
• Gokenbach Health, LLC (Eclipse Wellness Studio)
• Rachael M Gokenbach, LMT
• Kristine Gonzalez, FNP
• Christine Gordon
• Sarah Emily Graesser Gordon, DDS

• Behavior Analyst in Arnold, MO
• Providers in Arnold, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.