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NICOLE GOOSSEN CF-SLP
NPI 1255060067
Speech-Language Pathologist in Mandan, ND

Active since June 07, 2022
1702 E MAIN ST STE 103, MANDAN, ND 58554(701) 415-0000(833) 969-0195 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Goossen Cf-slp NPPES

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

NICOLE GOOSSEN CF-SLP (NPI 1255060067) is an individual speech-language pathologist provider in Mandan, North Dakota, licensed in North Dakota (2128) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1255060067
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICOLE GOOSSENCredential: CF-SLP
Location Address1702 E MAIN ST STE 103Mandan, ND 58554-3818
Mailing Address1702 E Main St Ste 103Mandan, ND 58554-3818 · (701) 415-0000 · Fax (833) 969-0195
Phone(701) 415-0000
Fax(833) 969-0195
Sole ProprietorNo
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1255060067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in ND · 2128
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1702 E MAIN ST STE 103, Mandan, ND 58554
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Goossen Cf-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Kids In Motion Inc
Same address
Physical Therapy
1810 E MAIN ST
Mandan, ND 58554
  • Reassigned Medicare billing, North Dakota enrollment
  • 7 clinicians in this Medicare group
NPI 1649736422 (701) 415-0000

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

Other Providers at the Same Location NPPES 9

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

ALEXANDRA MAKAE LEVORSEN
Occupational Therapist
1702 E MAIN ST STE 103
MANDAN, ND 58554
Morton County (701) 415-0000
MS. MADONNA A. MITZEL OT
Occupational Therapist
1702 E MAIN ST STE 103
MANDAN, ND 58554
Morton County (701) 415-0000
KAYZANNE HEWITT SLP
Speech-Language Pathologist
1702 E MAIN ST STE 103
MANDAN, ND 58554
Morton County (701) 415-0000
KAYLA DOLL OTR/L
Occupational Therapist
1702 E MAIN ST STE 103
MANDAN, ND 58554
Morton County (701) 415-0000
KIAH NIELSON OTR/L
Occupational Therapist
1702 E MAIN ST STE 103
MANDAN, ND 58554
Morton County (701) 415-0000
DALLAS JOHN HORNER PT, DPT
Physical Therapist
1702 E MAIN ST STE 103
MANDAN, ND 58554
Morton County (701) 415-0000
SAMANTHA J LANDENBERGER MS OTR/L
Occupational Therapist
1702 E MAIN ST STE 103
MANDAN, ND 58554
Morton County (701) 415-0000
JESSICA WALTH CF-SLP
Speech-Language Pathologist
1702 E MAIN ST STE 103
MANDAN, ND 58554
Morton County (701) 415-0000

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 Nicole Goossen's NPI number?

The NPI number for Nicole Goossen is 1255060067. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Nicole Goossen located?

Nicole Goossen practices at 1702 E Main St Ste 103, Mandan, ND 58554. The listed phone number is (701) 415-0000.

What is Nicole Goossen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Nicole Goossen enrolled in Medicare?

Yes. Nicole Goossen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Goossen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Goossen reassigns Medicare benefits to Kids In Motion Inc (Mandan, ND). 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 Nicole Goossen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Goossen accept?

Health plans from Blue Cross Blue Shield of North Dakota list Nicole Goossen 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 Nicole Goossen was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.