Healthcare Provider Details

I. General information

NPI: 1346832342
Provider Name (Legal Business Name): JENNA ALLISON GOSCHA B.A., MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20162 SW BIRCH ST STE 350
NEWPORT BEACH CA
92660-0790
US

IV. Provider business mailing address

20162 SW BIRCH ST STE 350
NEWPORT BEACH CA
92660-0790
US

V. Phone/Fax

Practice location:
  • Phone: 316-249-2244
  • Fax: 949-610-7660
Mailing address:
  • Phone: 316-249-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: