Courtney Starr Gooch

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1731 W Baseline Rd Ste 113
Mesa, AZ 85202-5782

Phone

(480) 687-1773

NPI assigned

May 12, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Free Life Wellness Center LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1316539687

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1922745884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 W BASELINE RD STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025782",
            "telephone_number": "480-687-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W BASELINE RD STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025782",
            "telephone_number": "480-687-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 N 40th St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852053918",
            "country_code": "US",
            "telephone_number": "559-681-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "COURTNEY",
        "middle_name": "STARR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Margaret Gonzalez, LCSW
• Meghan Elizabeth Gonzalez, M.S., CCC-SLP
• Victoria Cecilia Gonzalez, PA-C
• Virginia Gonzalez
• Yadhira Areli Gonzalez, RBT
• Todd Arlo Gooch, DPT
• Good for Life Chiropractic PLLC
• Good Habits Nutrition
• Good Health Medical, PLLC
• Good Health Medical, PLLC

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.