Individual provider Active NPI

Markie E Gohman, LPCC

  • Professional Counselor
  • Saint Cloud, MN
National Provider Identifier
1891326120
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2356 Issued in MN
Practice address
22 Wilson Ave NE Ste 110
Saint Cloud, MN 56304-0440
Phone
(320) 251-7700
Fax
(320) 251-8898
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2356 MN Primary

Addresses

Primary practice location

22 Wilson Ave NE Ste 110
Saint Cloud, MN 56304-0440

Mailing address

PO Box 6069
Saint Cloud, MN 56302-6069
Phone (320) 251-7700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240809003186 MN Practitioner - Mental Health Counselor 0244778173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 2ND Ave S
Suite 103
Sauk Rapids, MN 56379-1477
Phone (320) 298-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2356MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Service of Minnesota CurrentSince Feb 2, 2020 Accepting new patients
Athman Counseling Services LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

22 Wilson Ave NE
Ste 110
Saint Cloud, MN 56304
Phone (320) 251-7700

100 2nd Ave S
Ste 103
Sauk Rapids, MN 56379
Phone (320) 298-1144

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1891326120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563026069",
            "telephone_number": "320-251-7700",
            "fax_number": "320-251-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 110",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040440",
            "telephone_number": "320-251-7700",
            "fax_number": "320-251-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHMAN",
        "first_name": "MARKIE",
        "middle_name": "E",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.