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MITCHELL BENJAMIN GOOCH
NPI 1134569890
Counselor - Mental Health in Eugene, OR

Active since June 26, 2013PECOS Enrolled
2580 CHUCKANUT ST, EUGENE, OR 97408(503) 269-4979 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mitchell Benjamin Gooch NPPES

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

MITCHELL BENJAMIN GOOCH (NPI 1134569890) is an individual mental health provider in Eugene, Oregon, licensed in Vermont (068.0134196) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in South Burlington.

NPPES Registry Identity

NPI1134569890
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMITCHELL BENJAMIN GOOCH
Location Address2580 CHUCKANUT STEugene, OR 97408-7327
Mailing Address2580 Chuckanut StEugene, OR 97408-7327 · (503) 269-4979
Phone(503) 269-4979
Sole ProprietorNo
Enumeration DateJune 26, 2013
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1134569890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VT · 068.0134196
2580 CHUCKANUT ST, Eugene, OR 97408
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Secondary Practice Location 1

Location 139 McIntosh AveSouth Burlington, VT 05403-7375 · Phone (503) 269-4979

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Benjamin Gooch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

ORCHARD COUNSELING, LLC
Counselor (Mental Health)
2580 CHUCKANUT ST
EUGENE, OR 97408
Lane County (503) 269-4979

Frequently Asked Questions

What is Mitchell Gooch's NPI number?

The NPI number assigned to this healthcare provider is 1134569890, enumerated as an "individual" on June 26, 2013.

Where is the provider located?

The provider is located at 2580 CHUCKANUT ST EUGENE, OR 97408 and the phone number is (503) 269-4979.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Mitchell Gooch accept?

The provider might be accepting Accepts: BridgeSpan Health Company, Providence Health Plan. Please consult your insurance carrier or call the provider to verify.