Erakal Goodman, CBHCMS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6138 Kennerly Rd Unit 150
Jacksonville, FL 32216-4395

Phone

(904) 719-7667

Fax

(904) 297-2266

NPI assigned

Aug 23, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1033543343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 KENNERLY RD UNIT 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164395",
            "telephone_number": "386-283-2010",
            "fax_number": "904-297-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 KENNERLY RD UNIT 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164395",
            "telephone_number": "904-719-7667",
            "fax_number": "904-297-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ERAKAL",
        "credential": "CBHCMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth M Goodin, DPT
• Elizabeth Goodlett, AU.D.
• Garrett Martin Goodlett, DC
• Angela Simone Goodman, CNM
• Bevan Alesia Goodman
• Joyce M Goodman, P.A.
• Kawana Goodman, LPN
• Laparis Goodman
• Shelby Pando Goodman, MSW
• Shenavian Fredita Goodman, LPN

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.