Provider Demographics
NPI:1811173818
Name:GOSS, CATHERINE J (MS LAC LCPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:J
Last Name:GOSS
Suffix:
Gender:F
Credentials:MS LAC LCPC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:J
Other - Last Name:GRAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1629 AVENUE D STE C5
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3042
Mailing Address - Country:US
Mailing Address - Phone:406-860-7224
Mailing Address - Fax:
Practice Address - Street 1:1629 AVENUE D STE C5
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3042
Practice Address - Country:US
Practice Address - Phone:068-607-2244
Practice Address - Fax:406-254-1650
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT101YA0400X
MT1224101YA0400X
MT17378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0320501Medicaid