QUEEN ELIZABETH GOOCH (NPI# 1043782691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043782691 |
| Entity Type | Individual |
| Full Name | QUEEN ELIZABETH GOOCH |
| Credential | MS, NCC, LPCA |
| Practice Address |
5209 W Wendover Ave High Point NC 27265-9177 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3368991550 |
| Practice Fax Number | 3368991589 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A14773 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5206 Ashworth Rd, Greensboro, NC 274059555 | 3368254516 |
| Street Address |
5209 W WENDOVER AVE |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27265-9177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285735068 | Alcohol and Drug Services Guilford | Substance Abuse Rehabilitation Facility | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2006-09-26 |
| 1609489293 | Raveen Boykin | Counselor | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2020-08-25 |
| 1548870371 | Kadeejah Miller | Counselor | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2020-08-06 |
| 1093348153 | Phyllis Lovette Ruff | Licensed Practical Nurse | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2020-02-18 |
| 1124669957 | Jacqueline Barnes | Clinical Nurse Specialist | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2019-10-02 |
| 1700434479 | Shamberal Renetia Stewart | Counselor | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2019-08-27 |
| 1821657818 | Terri I Willard | Social Worker | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2019-06-12 |
| 1437717170 | Brittney Nicole Greene | Social Worker | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2019-05-29 |
| 1558847632 | Lashanda Monique Adams | Registered Nurse | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2018-07-12 |
| 1265972277 | Herbert Joel Benjamin | Counselor | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2017-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066985 | Rowanty N. Jenkins | Registered Nurse | 4305 Holstein Drive, High Point, NC 27265 | 2020-09-02 |
| 1407355704 | Triad Pediatrics, PC | Pediatrics | 2754 Hwy 68, Suite 111, High Point, NC 27265 | 2018-02-02 |
| 1942730452 | Triad Women's Health and Wellness Center | Obstetrics & Gynecology | 3750 Admiral Dr., Suite 104, High Point, NC 27265 | 2017-06-16 |
| 1992235642 | Gina Cobb Davis | Registered Nurse | 2215 Hickswood Rd., High Point, NC 27265 | 2017-06-15 |
| 1700316395 | Jennifer George | Specialist/Technologist | 3988 Clubhouse Court Apt. 2h, High Point, NC 27265 | 2017-06-15 |
| 1730530510 | Safe Living Solutions | Contractor | 2209 Eastchester Dr., Ste 109, High Point, NC 27265 | 2016-06-23 |
| 1528412087 | Johnette Walser | Social Worker | 2411 Penny Road, Suite 102, High Point, NC 27265 | 2016-04-20 |
| 1093143489 | Debbie Schmitz | Specialist | 801 Lindsay St. Suite E, High Point, NC 27265 | 2013-10-22 |
| 1164786034 | Janice Rene' Swanson | Dietitian, Registered | 4515 Premier Dr Ste 401, High Point, NC 27265 | 2012-06-26 |
| 1053600551 | Lynn Buie Brooks | Counselor | 460 Sandybrooke Dr., High Point, NC 27265 | 2011-04-05 |
| Find all providers in zip 27265 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396541 | Nosaba Naveed | Counselor | 1589 Skeet Club Rd Ste 102-224, High Point, NC 27265-8817 | 2020-01-29 |
| 1891333670 | Krista Johnson | Counselor | 155 Northpoint Ave Ste 201, High Point, NC 27262-7723 | 2019-12-12 |
| 1932662020 | Casey Taylor West | Counselor | 308 Boulevard St, High Point, NC 27262-3802 | 2019-04-07 |
| 1831613991 | Joan Lawrence | Counselor | 1400 Eastchester Dr Ste 105a, High Point, NC 27265-2669 | 2017-07-31 |
| 1285023218 | Cathy Gayle Cole | Counselor | 3839 Johnson St Unit B, High Point, NC 27265-1374 | 2015-01-14 |
| 1235547035 | Nikeita Mcdonald-constantine | Counselor | 1230 Turtle Rock Way Apt 2f, High Point, NC 27265-7487 | 2014-07-25 |
| 1023431699 | Cathy Pickett | Counselor | 2007 Briarcliff Dr, High Point, NC 27265-2428 | 2014-02-01 |
| 1598106171 | Cynthia R Jones | Counselor | 1230 Glenstone Trl, 2h, High Point, NC 27265-6011 | 2013-07-11 |
| 1871843151 | Enjonae Anderson | Counselor | 620 E Lexington Ave, High Point, NC 27262-2755 | 2012-09-14 |
| 1053600551 | Lynn Buie Brooks | Counselor | 460 Sandybrooke Dr., High Point, NC 27265 | 2011-04-05 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27265 |
Please comment or provide details below to improve the information on QUEEN ELIZABETH GOOCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.