Active NPI
Elizabeth Claire Goodyear, MHC-LP
- Mental Health Counselor
- Great Neck, NY
National Provider Identifier
1063260453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P127736
- Practice address
- 16 Middle Neck Rd Ste 537
Great Neck, NY 11021-2357 - Phone
- (917) 912-2925
- NPI assigned
- May 9, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P127736 | NY | Primary |
Addresses
Primary practice location
16 Middle Neck Rd Ste 537
Great Neck, NY 11021-2357
Mailing address
3 S Magnolia St Apt 2
Pearl River, NY 10965-2224
Phone (845) 642-0589
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 |
|---|---|---|---|
| P127736 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1063260453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 S MAGNOLIA ST APT 2",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652224",
"telephone_number": "845-642-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MIDDLE NECK RD STE 537",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212357",
"telephone_number": "917-912-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODYEAR",
"first_name": "ELIZABETH",
"middle_name": "CLAIRE",
"credential": "MHC-LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P127736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.