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

Sex

Female

Sole proprietor

No

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.

• Owl Therapy Services LLC

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

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

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

• Michelle Auer Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2023.

{
    "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
• Rachael M Gokenbach, LMT
• Kristine Gonzalez, FNP
• Christine Gordon
• Sarah Emily Graesser Gordon, DDS

• All providers in Arnold, MO
• 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.