Tanya A Goodman, MS, CAADC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012051 Issued in PA

Practice address

310 S Nice St
Frackville, PA 17931-2111

Phone

(570) 401-5988

NPI assigned

Jan 2, 2020

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA, Professional

  Medicare reassignment NPD
• Tanya Goodman Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pottsville, PA
  • NPI 1770256992
  NPD Authorized official

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1053950501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S NICE ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312111",
            "telephone_number": "570-401-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S NICE ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312111",
            "telephone_number": "570-401-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "TANYA",
        "middle_name": "A",
        "credential": "MS, CAADC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frackville Community Ambulance Association
• Frackville Pharmacy Inc
• Shirley Ann French, CRNP, RPH
• Geisinger Clinic
• Good Samaritan Regional Medical Center
• Marline Louisedith Gousse
• Thomas R. Graf, M.D.
• James C Greenfield, DO
• Timothy Guy Grube, D.O.
• Raymond Edward Hische, DMD

• Professional Counselor in Frackville, PA
• Providers in Frackville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.