MEDICARE: TORI ALISSA GOOCH MS, PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	2025052002	MO

General Provider Information

NPI Number	:	1053279323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORI ALISSA GOOCH MS, PLPC

Provider Business Mailing Address
First Line	:	5782 N FARM ROAD 171
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-8658
Country	:	US
Telephone Number	:	573-855-3507
Fax Number	:

Provider Business Practice Location Address
First Line	:	5782 N FARM ROAD 171
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-8658
Country	:	US
Telephone Number	:	573-855-3507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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