Mackenzie Allyn Gosa, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1600 University Ave W Ste 203
Saint Paul, MN 55104-3838

Phone

(651) 645-0980

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Marriage and Family Therapist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Great River Psychotherapy PLLC

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1588206940
  Medicare reassignment
• Through Therapy Collective, Inc

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1508324336
  NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1821776543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "BLUE RIVER",
            "state": "OR",
            "postal_code": "974130233",
            "telephone_number": "541-852-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 203",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043838",
            "telephone_number": "651-645-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSA",
        "first_name": "MACKENZIE",
        "middle_name": "ALLYN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Larissa Gorman, MA, LADC
• Robert Gorman, MD
• Mark E Gormley, MD
• Maureen Therese Gorshe
• Jeffrey Gorzek, PT
• Linda Susan Goss, CRNA
• Gabrielle Lenore Gotlund, DNP
• Andrew W. Gottfried, DO
• Monet Marie Goudreault
• Gould Enterprise, PLLC

• Marriage & Family Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.