SHELLY GOSCHA, LICENSED CLINICAL SOCIAL WORKER, PSYCHOTHERAPY SERVIC
NPI 1215530167
Clinic/Center - Mental Health (Including Community Mental Health Center) in El Dorado Hills, CA

Q: What is Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since November 20, 2020

5170 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762(785) 766-1885(916) 235-5843 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Feb 23, 2021, Feb 17, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic NPPES

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

SHELLY GOSCHA, LICENSED CLINICAL SOCIAL WORKER, PSYCHOTHERAPY SERVIC (NPI 1215530167) is a healthcare organization registered as a mental health (including community mental health center) in El Dorado Hills, California and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Cameron Park and lists Shelly Sue Goscha, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1215530167

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSHELLY GOSCHA, LICENSED CLINICAL SOCIAL WORKER, PSYCHOTHERAPY SERVIC

Location Address5170 GOLDEN FOOTHILL PKWYEl Dorado Hills, CA 95762-9608

Mailing Address5170 Golden Foothill PkwyEl Dorado Hills, CA 95762-9608 · (785) 766-1885 · Fax (916) 235-5843

Phone(785) 766-1885

Fax(916) 235-5843

Organization SubpartNo

Authorized OfficialShelly Sue GoschaOwner/president · (785) 766-1885

Enumeration DateNovember 20, 2020

Last NPPES UpdateApril 13, 20265 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1215530167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

5170 GOLDEN FOOTHILL PKWY, El Dorado Hills, CA 95762

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Secondary Practice Location 1

Location 1414 Ashland CtCameron Park, CA 95682-7661 · Phone (785) 766-1885

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shelly Goscha, LCSW

Clinical Social Worker

NPI 1750711719

5170 GOLDEN FOOTHILL PKWY
El Dorado Hills, CA 95762

(785) 766-1885

✔ PECOS✔ Accepts MedicareSame address

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 Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic's NPI number?

The NPI number for Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic is 1215530167. It was assigned to this organization in the NPPES registry on November 20, 2020.

Where is Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic located?

Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic is located at 5170 Golden Foothill Pkwy, El Dorado Hills, CA 95762. The listed phone number is (785) 766-1885.

What is Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic enrolled in Medicare?

Yes. Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.