KAITLIN ANN GOTCH LPC
NPI 1174253918
Counselor in Idaho Falls, ID

Q: What is Kaitlin Gotch's NPI number?

The NPI number for Kaitlin Gotch is 1174253918. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Q: What is Kaitlin Gotch's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Gotch was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 14, 2022PECOS Enrolled

2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kaitlin Ann Gotch Lpc NPPES

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

KAITLIN ANN GOTCH LPC (NPI 1174253918) is an individual counselor in Idaho Falls, Idaho, licensed in Idaho (LPC-9072) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174253918

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKAITLIN ANN GOTCHCredential: LPC

Location Address2275 W BROADWAY ST STE GIdaho Falls, ID 83402-2902

Mailing Address2275 W Broadway St Ste GIdaho Falls, ID 83402-2902 · (208) 524-7400

Phone(208) 524-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 14, 2022

Last NPPES UpdateAugust 24, 2022

NPPES CertifiedAugust 24, 2022

✔ NPI 1174253918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ID · LPC-9072

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License COUI-8935 (ID)

2275 W BROADWAY ST STE G, Idaho Falls, ID 83402

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, University of Utah Health Plans.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)

Kaitlin Ann Gotch Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193218410

PECOS Enrollment IDI20251204004026

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 20

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

PAULA MARIE GREEN LMSW

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