WARREN GOGGLEYE CD
NPI 1467779553
Counselor - Mental Health in Grand Rapids, MN

Active since April 28, 2010
604 S POKEGAMA AVE, GRAND RAPIDS, MN 55744(218) 327-9944 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Warren Goggleye Cd NPPES

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

WARREN GOGGLEYE CD (NPI 1467779553) is an individual mental health provider in Grand Rapids, Minnesota, licensed in Minnesota (302475) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1467779553
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWARREN GOGGLEYECredential: CD
Location Address604 S POKEGAMA AVEGrand Rapids, MN 55744-3831
Mailing Address604 S Pokegama AveGrand Rapids, MN 55744-3831 · (218) 327-9944
Sole ProprietorNo
Enumeration DateApril 28, 2010
NPI 1467779553 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 MN · 302475
604 S POKEGAMA AVE, Grand Rapids, MN 55744

Other Identifiers 1

Other302475MN · State License

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 Warren Goggleye's NPI number?

The NPI number for Warren Goggleye is 1467779553. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Where is Warren Goggleye located?

Warren Goggleye practices at 604 S Pokegama Ave, Grand Rapids, MN 55744. The listed phone number is (218) 327-9944.

What is Warren Goggleye's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Warren Goggleye was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.