Leanne Goodwin, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178017418 Issued in IL

Practice address

265 Stonegate Rd Ste 102
Algonquin, IL 60102-5614

Phone

(224) 678-9180

Fax

(224) 678-9369

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Leanne Deister-Goodwin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Epp Advisory Group, Inc.

  • Professional Counselor
  • Algonquin, IL
  • NPI 1164778593

  Mental Health

  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1063052298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 STONEGATE RD STE 102",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025614",
            "telephone_number": "224-678-9180",
            "fax_number": "224-678-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 STONEGATE RD STE 102",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025614",
            "telephone_number": "224-678-9180",
            "fax_number": "224-678-9369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 W Main St",
            "address_purpose": "LOCATION",
            "city": "Robinson",
            "state": "IL",
            "postal_code": "624543819",
            "country_code": "US",
            "telephone_number": "224-678-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "LEANNE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180016270",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178017418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "DEISTER-GOODWIN",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Georgetown Home Health Care, Inc.
• Amanda Elizabeth Gerke, DC
• Deborah A Gibson, PHARMD
• Jeffrey Dean Gindorf, M.D.
• Alexandra Gold
• Donna Gorman
• Debra Gorski, MSW, LSW
• Cynthia Anh Grams, OT
• Julie A Grandolfo, FNP-BC
• John Nicholas Graub, PSY.D.

• Mental Health Counselor in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.