Active NPI
Goodine Counseling LTD
- Professional Counselor
- Green Bay, WI
National Provider Identifier
1003513839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- GOODINE COUNSELING LTD
- Practice address
- 1050 Circle Dr Ste B
Green Bay, WI 54304-5569 - Phone
- (920) 660-9797
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah A Goodine, LPC
- Title
- President
- Phone
- (920) 660-9797
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1050 Circle Dr Ste B
Green Bay, WI 54304-5569
Mailing address
2123 Nellie LN
Green Bay, WI 54311-6068
Phone (920) 660-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100044216 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Goodine Counseling LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Green Bay, WI
- NPI 1033808183
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Green Bay, WI
- NPI 1528445111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1003513839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 NELLIE LN",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116068",
"telephone_number": "920-660-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CIRCLE DR STE B",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045569",
"telephone_number": "920-660-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODINE COUNSELING LTD",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "GOODINE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-660-9797",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100044216",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.