SARA GOUDGE MA, LPCC
NPI 1083991525
Counselor - Professional in Saint Francis, MN

Active since November 11, 2011PECOS Enrolled
23306 CREE ST UNIT 106, SAINT FRANCIS, MN 55070(763) 220-0501(763) 312-2056 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sara Goudge Ma, Lpcc NPPES

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

SARA GOUDGE MA, LPCC (NPI 1083991525) is an individual professional provider in Saint Francis, Minnesota, licensed in Minnesota (CC00385) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083991525
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSARA GOUDGECredential: MA, LPCC
Location Address23306 CREE ST UNIT 106Saint Francis, MN 55070-2307
Mailing Address5409 Ambassador Blvd NwSaint Francis, MN 55070-9677 · (612) 501-4749
Fax(763) 312-2056
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 11, 2011
Last NPPES UpdateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1083991525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MN · CC00385✔ Licensed in MN · 385
23306 CREE ST UNIT 106, Saint Francis, MN 55070

Other Names 1

Former Name (1)Sara Lawrence

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Goudge Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244701688
PECOS Enrollment IDI20260605001975
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 Reassignment

Medicare enrollment records show Sara Goudge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota enrollment
  • 276 clinicians in this Medicare group

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

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 Sara Goudge's NPI number?

The NPI number for Sara Goudge is 1083991525. It was assigned to this individual provider in the NPPES registry on November 11, 2011. The provider is also known as Sara Lawrence.

Where is Sara Goudge located?

Sara Goudge practices at 23306 Cree St Unit 106, Saint Francis, MN 55070. The listed phone number is (763) 220-0501.

What is Sara Goudge's specialty?

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

Is Sara Goudge enrolled in Medicare?

Yes. Sara Goudge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Goudge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Goudge reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Sara Goudge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Goudge accept?

Health plans from HealthPartners list Sara Goudge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Goudge was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.