Provider Demographics
NPI:1215732961
Name:GOERS, JENIFER KATHLEEN (MA, PLPC)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:KATHLEEN
Last Name:GOERS
Suffix:
Gender:
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9029 LACKLAND RD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND
Mailing Address - State:MO
Mailing Address - Zip Code:63114-5408
Mailing Address - Country:US
Mailing Address - Phone:314-488-3578
Mailing Address - Fax:
Practice Address - Street 1:10950 SCHUETZ RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-5704
Practice Address - Country:US
Practice Address - Phone:314-812-9327
Practice Address - Fax:314-812-9398
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health