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Penelope Jean Gooch , MS LP

Psychologist β€’ Duluth, MN

Active NPI 1356486153 Individual Practitioner Female Practitioner
Practice location in NPPES

324 W Superior St Ste 400
Duluth, MN 558021726

Call 2187403026 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

324 W Superior St Ste 400

Duluth, MN 558021726

Telephone 2187403026
Fax 2187403030
Organization at the Same NPPES Address or Phone
North Homes, Inc. Facility NPI 1023360559

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Duluth and Minnesota

62 active clinicians are listed under Psychologist with a practice address in Duluth, MN (1,694 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

6.5% of these 62 clinicians have the CMS telehealth indicator.

16.1% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-14
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MN LP3676

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
805716800 (MN)
Other Identifier Bcbs
535S1N0 (MN)
Other Identifier Medica Ubh
6245819 (MN)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Kerry Van Dusen , PSYD LP

Psychologist - Clinical

NPI 1700919073

PSYDLP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 14, 2023

Registered at 324 W SUPERIOR ST STE 400, DULUTH, MN 558021726 (Tel: 2187403026)

πŸ“
Updated Business Mailing Address April 14, 2023

Registered at 324 W SUPERIOR ST STE 400, DULUTH, MN 558021726 (Tel: 2187403026)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 101 W 2ND STREET, SUITE 100 NORTHERN LIGHTS COUNSELING CENTER, DULUTH, MN 55802 (Tel: 2187403026)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 101 W 2ND STREET, SUITE 100, DULUTH, MN 55802 (Tel: 2187403026)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as PENELOPE GOOCH, MS LP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (license number reported to NPPES: MN LP3676)

🟒
Initial NPI Registration & Enumeration February 20, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356486153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: April 14, 2023
Sole Proprietor: No

Other Psychologists in Duluth

Healthcare providers in Duluth

Mailing Address

324 W Superior St Ste 400

Duluth, MN 558021726

Phone: 2187403026

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.