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QUEEN ELIZABETH GOOCH MS, NCC, LPCA
NPI 1043782691
Counselor - Professional in High Point, NC

Active since December 20, 2018PECOS Enrolled
5209 W WENDOVER AVE, HIGH POINT, NC 27265(336) 899-1550(336) 899-1589 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2019, Dec 20, 2018 (2 updates tracked since 2018).

About Queen Elizabeth Gooch Ms, Ncc, Lpca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEEN ELIZABETH GOOCH MS, NCC, LPCA (NPI 1043782691) is an individual professional provider in High Point, North Carolina, licensed in North Carolina (A14773) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greensboro, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043782691
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameQUEEN ELIZABETH GOOCHCredential: MS, NCC, LPCA
Location Address5209 W WENDOVER AVEHigh Point, NC 27265-9177
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(336) 899-1550
Fax(336) 899-1589
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 20, 2018
Last NPPES UpdateMay 28, 20192 updates tracked since enumeration
✔ NPI 1043782691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A14773
5209 W WENDOVER AVE, High Point, NC 27265
Open in Google Maps ↗

Secondary Practice Location 1

Location 15206 Ashworth RdGreensboro, NC 27405-9555 · Phone (336) 825-4516

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Queen Elizabeth Gooch Ms, Ncc, Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012477342
PECOS Enrollment IDI20260904003244
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Queen Gooch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Moses H. Cone Memorial Hospital Operating Corporation
7.8 mi
Internal Medicine
509-E NORTH ELAM AVENUE, 3RD FLOOR
Greensboro, NC 27403
  • Reassigned Medicare billing, North Carolina enrollment
  • 835 clinicians in this Medicare group
NPI 1013265909 (336) 832-1970
Alamance Regional Medical Center, Inc.
25 mi
General Acute Care Hospital
1240 HUFFMAN MILL RD
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 384 clinicians in this Medicare group
NPI 1326010273 (336) 538-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHERITIA TIJUANA FAULCON MD
Psychiatry & Neurology (Psychiatry)
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 899-1550
JACKIE M BUTLER CCS
Counselor (Addiction (Substance Use Disorder))
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 812-8645
JASMIN RENEE' FLOWERS LCSW, LCASA
Social Worker (Clinical)
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 899-1550
DAYMARK RECOVERY SERVICES INC
Substance Abuse Rehabilitation Facility
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (704) 939-1100
BRIDGEWAY BEHAVIORAL HEALTH, INC.
Substance Abuse Rehabilitation Facility
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 845-3988
PHYLLIS LOVETTE RUFF LPN
Licensed Practical Nurse
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 899-1550
MS. CHERYL NEWELL DAVIS LCAS
Counselor (Addiction (Substance Use Disorder))
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 845-4003
GWENDOLYN LUCILLE MAJERUS LCAS
Counselor (Addiction (Substance Use Disorder))
5209 W WENDOVER AVE
HIGH POINT, NC 27265
Guilford County (336) 845-4021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queen Gooch's NPI number?

The NPI number for Queen Gooch is 1043782691. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Where is Queen Gooch located?

Queen Gooch practices at 5209 W Wendover Ave, High Point, NC 27265. The listed phone number is (336) 899-1550.

What is Queen Gooch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Queen Gooch enrolled in Medicare?

Yes. Queen Gooch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Queen Gooch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Queen Gooch reassigns Medicare benefits to 2 organizations: The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Alamance Regional Medical Center, Inc. (Burlington, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Queen Gooch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Queen Gooch was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.