Organization Active NPI

Linda Goerner Psychotherapy, LLC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1902573280
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LINDA GOERNER PSYCHOTHERAPY, LLC
Practice address
1750 Colorado Blvd
Denver, CO 80220-1057
Phone
(303) 717-7412
Fax
(303) 321-6984
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Linda Anne Goerner, LPCNPI 1518175934
Title
Psychotherapist
Phone
(303) 717-7412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1750 Colorado Blvd
Denver, CO 80220-1057

Mailing address

2349 Cherry St
Denver, CO 80207-3142
Phone (303) 717-7412

Other identifiers 1

IdentifierTypeStateIssuer
006953MedicaidCO

Other names 1

  • Growing Families Together Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address linda@lindagoernerpsychotherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104000236 CO Part B Supplier - Clinic/Group Practice 7719338755 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

1750 Colorado Blvd
Denver, CO 80220
Phone (303) 717-7412

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1902573280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 CHERRY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073142",
            "telephone_number": "303-717-7412",
            "fax_number": "303-321-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201057",
            "telephone_number": "303-717-7412",
            "fax_number": "303-321-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA GOERNER PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "GOERNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-717-7412",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006953",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "linda@lindagoernerpsychotherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1750 Colorado Blvd",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802201057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Growing Families Together",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Growing Families Together",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.