Active NPI
Denise Patricia Gooden, LPC
- Professional Counselor
- Bethlehem, PA
National Provider Identifier
1053927566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012667
- Practice address
- 807 W Broad St
Bethlehem, PA 18018-5223 - Phone
- (610) 419-9415
- Fax
- (610) 419-9418
- NPI assigned
- Sep 20, 2020
- Last updated
- Sep 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012667 | PA | Primary |
Addresses
Primary practice location
807 W Broad St
Bethlehem, PA 18018-5223
Mailing address
1572 Valley Rd
Bethlehem, PA 18018-1753
Phone (484) 719-1905
Other names 1
- Denise Gooden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012667 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Resources Counseling Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600560000000",
"number": "1053927566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1572 VALLEY RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181753",
"telephone_number": "484-719-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 W BROAD ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180185223",
"telephone_number": "610-419-9415",
"fax_number": "610-419-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "DENISE",
"middle_name": "PATRICIA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-20",
"last_updated": "2020-09-20",
"certification_date": "2020-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "GOODEN",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bethlehem, PA
- Felipe Gonzalez, CRNA
- Miguel Angel Gonzalez Sr., MD
- Nadia Gonzalez, RN
- Rene Miguel Gonzalez, M.D.
- Good Shepherd Home Long Term Care Facility, Inc (Good Shepherd Home-Bethlehem)
- Victoria Goodheart
- Christopher Donald Goodin, CRNP
- Goodventures, Inc. Dba Always Best Care Senior Services Upper Buxmont (Always Best Care of Greater Bethlehem)
- Michael Goodwin, M.D.
- Scott Mitchell Goodwin, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.