JUAN CARLOS GORIS LICSW
NPI 1649528860
Counselor - Mental Health in Fitchburg, MA
About Juan Carlos Goris Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUAN CARLOS GORIS LICSW (NPI 1649528860) is an individual mental health provider in Fitchburg, Massachusetts, licensed in Massachusetts (123312) and active in the NPI registry since August 2012. He has opted out of Medicare through April 10, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Juan Carlos Goris Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2024 through April 10, 2028.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FITCHBURG, MA 01420
FITCHBURG, MA 01420
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 Juan Carlos Goris's NPI number?
The NPI number for Juan Carlos Goris is 1649528860. It was assigned to this individual provider in the NPPES registry on August 20, 2012.
Where is Juan Carlos Goris located?
Juan Carlos Goris practices at 344 Main St, Fitchburg, MA 01420. The listed phone number is (978) 503-1700.
What is Juan Carlos Goris's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Juan Carlos Goris enrolled in Medicare?
No. Juan Carlos Goris has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Juan Carlos Goris accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Juan Carlos Goris 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 Juan Carlos Goris was last updated on September 15, 2021. 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.
# Juan Carlos Goris, LICSW · NPI 1649528860
Mental Health provider in Fitchburg, Massachusetts. Individual provider, active in the CMS NPPES registry since August 20, 2012.
## Identity
- **NPI:** 1649528860 (Entity type: Individual)
- **Enumerated:** August 20, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 123312 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 344 MAIN ST, Fitchburg, MA 01420-8007
- **Phone:** (978) 503-1700
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 10, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1649528860) · Data from the CMS NPPES public registry.