MR. BRADLEY CARLYLE GOBEN MA LCPC
NPI 1073645578
Counselor - Professional in Champaign, IL

Q: What is Bradley Goben's NPI number?

The NPI number for Bradley Goben is 1073645578. It was assigned to this individual provider in the NPPES registry on March 10, 2007.

Q: What is Bradley Goben's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Goben was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 10, 2007

313 N MATTIS AVE, CHAMPAIGN, IL 61821(217) 348-1086(217) 355-4012 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Bradley Carlyle Goben Ma Lcpc NPPES

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

MR. BRADLEY CARLYLE GOBEN MA LCPC (NPI 1073645578) is an individual professional provider in Champaign, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1073645578

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. BRADLEY CARLYLE GOBENCredential: MA LCPC

Location Address313 N MATTIS AVEChampaign, IL 61821-2460

Mailing Address1004 10th StCharleston, IL 61920-2822 · (217) 348-1354

Phone(217) 348-1086

Fax(217) 355-4012

Sole ProprietorNo

Enumeration DateMarch 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1073645578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

313 N MATTIS AVE, Champaign, IL 61821

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Other Providers at the Same Location NPPES 5

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

DR. WILLIAM ANDREW HOGAN PHD

Counselor (Professional)

313 N MATTIS AVE, SUITE 205
CHAMPAIGN, IL 61821

Champaign County (217) 348-1086

KC EATING DISORDER CLINIC PLLC

Clinic/Center

313 N MATTIS AVE
CHAMPAIGN, IL 61821

Champaign County (217) 377-0299

MIDWEST NEUROFITNESS

Counselor (Professional)

313 N MATTIS AVE, SUITE 205
CHAMPAIGN, IL 61821

Champaign County (217) 348-1086

SARAH L OLSON LCSW

Social Worker (Clinical)

313 N MATTIS AVE, STE 209
CHAMPAIGN, IL 61821

Champaign County (217) 398-9066

ABC COUNSELING AND FAMILY SERVICES

Social Worker (Clinical)

313 N MATTIS AVE, SUITE 115
CHAMPAIGN, IL 61821

Champaign County (217) 403-0790

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 Bradley Goben's NPI number?

The NPI number for Bradley Goben is 1073645578. It was assigned to this individual provider in the NPPES registry on March 10, 2007.

Where is Bradley Goben located?

Bradley Goben practices at 313 N Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 348-1086.

What is Bradley Goben's specialty?

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

When was this NPI record last updated?

The NPPES record for Bradley Goben was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.