PENELOPE JEAN GOOCH


Address: 101 W 2nd Street, Suite 100 Northern Lights Counseling Center, Duluth, MN 55802
Phone: 2187403026

PENELOPE JEAN GOOCH (NPI# 1356486153) 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) 1356486153
Entity Type Individual
Full Name PENELOPE JEAN GOOCH
Credential MS LP
Practice Address 101 W 2nd Street
Suite 100 Northern Lights Counseling Center
Duluth
MN 55802
Mailing Address 101 W 2nd Street
Suite 100
Duluth
MN 55802
Practice Telephone 2187403026
Practice Fax Number 2187403030
Mailing Telephone 2187403026
Mailing Fax Number 2187403030
Enumeration Date 2007-02-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP3676 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BCBS 535S1N0 01
MN MEDICA UBH 6245819 01

Office Location

Street Address 101 W 2ND STREET
SUITE 100 NORTHERN LIGHTS COUNSELING CENTER
City DULUTH
State MN
Zip Code 55802

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063915239 Jpw Counseling & Consultation Social Worker 302 W Superior St Ste 508, Duluth, MN 55802 2018-03-14
1134664311 Amp Group, LLC Counselor 331 West Superior Street, Duluth, MN 55802 2016-12-27
1982151361 Tiffany Riester Counselor 332 W Superior Street, Suite 300, Duluth, MN 55802 2016-09-02
1730635392 Karina Krosbakken Counselor 332 W. Superior St., Suite 300, Duluth, MN 55802 2016-09-01
1437559051 Natalie R Zwak Dietitian, Registered 26 E Superior St Ste 315, Duluth, MN 55802 2014-09-02
1447679279 Valerie Lou Shelton Registered Nurse 118 E Superior St., Duluth, MN 55802 2014-04-09
1285063115 Brian Bergstedt Counselor 332 West Superior Street, Suite 300, Duluth, MN 55802 2013-11-01
1508135948 Karen Dee Turner Counselor 202 W. Superior Street, Suite 700, Duluth, MN 55802 2011-12-14
1497023410 Jean Barrie Mcbride Pharmacist 1131 East Superior Street, Duluth, MN 55802 2011-12-05
1194092304 Diane Murphy Winship Pharmacist 1331 Superior St, Duluth, MN 55802 2011-11-17
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801493952 Michelle Brownfield Psychologist 606 Spear Ave, Duluth, MN 55803-2154 2020-10-01
1770143331 James Vincent Shreffler Psychologist 324 W Superior St Ste 620, Duluth, MN 55802-1723 2019-06-17
1831556935 Megan Marie Paris Psychologist 715 East Central Entrance, Duluth, MN 55811 2016-01-20
1437447992 Michelle Simon Psychologist 1005 W Morgan St, Duluth, MN 55811-4424 2011-07-19
1215161823 Jude Martin Henningsgaard Psychologist 405 E Superior St, Duluth, MN 55802-2240 2009-05-11
1518143999 Claudia Virginia Weber Psychologist 4298 Charles Rd, Duluth, MN 55803-1270 2008-01-15
1215070073 Marcus Peter Desmonde Psychologist 716 Medical Arts Bldg, Duluth, MN 55802-1721 2007-02-14
1013054642 Kelly Jean Ravenfeather Psychologist 230 E Superior St Ste 101, Duluth, MN 55802-2104 2007-01-31
1417009804 Susan Ruth Hall Psychologist 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 2007-01-17
1508922386 Northwood Children's Services, Inc. Psychologist 1131 N 11th Ave E, Duluth, MN 55805-1517 2006-12-28
Find all providers in DULUTH

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City DULUTH
Zip Code 55802

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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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