MACKENZIE ALLYN GOSA MS
NPI 1821776543
Marriage & Family Therapist in Saint Paul, MN

Active since July 11, 2023PECOS Enrolled
1600 UNIVERSITY AVE W STE 203, SAINT PAUL, MN 55104(651) 645-0980 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mackenzie Allyn Gosa Ms NPPES

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

MACKENZIE ALLYN GOSA MS (NPI 1821776543) is an individual marriage & family therapist in Saint Paul, Minnesota and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821776543
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMACKENZIE ALLYN GOSACredential: MS
Location Address1600 UNIVERSITY AVE W STE 203Saint Paul, MN 55104-3838
Mailing AddressPo Box 233Blue River, OR 97413-0233 · (541) 852-0899
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1821776543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1600 UNIVERSITY AVE W STE 203, Saint Paul, MN 55104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Allyn Gosa Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123502036
PECOS Enrollment IDI20260319000049
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.

Medicare Billing Reassignment

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

Clinical
790 CLEVELAND AVE S STE 201
Saint Paul, MN 55116
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group

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 3

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

Social Worker (Clinical)
1600 UNIVERSITY AVE W STE 203
SAINT PAUL, MN 55104
Marriage & Family Therapist
1600 UNIVERSITY AVE W STE 203
SAINT PAUL, MN 55104
Counselor (Mental Health)
1600 UNIVERSITY AVE W STE 203
SAINT PAUL, MN 55104

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 Mackenzie Gosa's NPI number?

The NPI number for Mackenzie Gosa is 1821776543. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Mackenzie Gosa located?

Mackenzie Gosa practices at 1600 University Ave W Ste 203, Saint Paul, MN 55104. The listed phone number is (651) 645-0980.

What is Mackenzie Gosa's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mackenzie Gosa enrolled in Medicare?

Yes. Mackenzie Gosa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mackenzie Gosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Gosa reassigns Medicare benefits to Great River Psychotherapy PLLC (Saint Paul, MN). 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 Mackenzie Gosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mackenzie Gosa accept?

Health plans from HealthPartners list Mackenzie Gosa 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 Mackenzie Gosa was last updated on July 11, 2023. 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.