MICHELLE GOSSEN


Address: 204 N Main St, Danville, IA 52623-9620
Phone: 3192848968

MICHELLE GOSSEN (NPI# 1235496118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235496118
Entity Type Individual
Full Name MICHELLE GOSSEN
Credential LMHC
Practice Address 204 N Main St
Danville
IA 52623-9620
Practice Telephone 3192848968
Mailing Telephone 3192848968
Enumeration Date 2012-04-18
Last Update Date 2019-08-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
001491 IA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0410666 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
808 5th Ave, Des Moines, IA 503091307 5152442267

Office Location

Street Address 204 N MAIN ST
City DANVILLE
State IA
Zip Code 52623-9620

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City DANVILLE
Zip Code 52623

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Dataset Information

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.

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