Individual provider Active NPI

Emily Goodman, LIMHP, LMHP, LADC,

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1073979514
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1948 Issued in NE
Practice address
701 P St Ste 303
Lincoln, NE 68508-1356
Phone
(402) 560-4156
Fax
(402) 267-4656
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1948 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1203 NE

Addresses

Primary practice location

701 P St Ste 303
Lincoln, NE 68508-1356

Mailing address

14620 Cavalier St
Waverly, NE 68462-1649
Phone (402) 560-4156

Other practice location 1

14620 Cavalier St
Waverly, NE 68462-1649
Phone (402) 560-4156

Other names 1

  • Emily Reinhardt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20240328000183 NE Practitioner - Mental Health Counselor 4880021310 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1203NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily L. Goodman PC Mental Health CurrentSince Jan 8, 2016 Accepting new patients
Parallels, Inc Addiction (Substance Use Disorder) PastSince Nov 3, 2019 Accepting new patients
John W. Herdman, PH.D., PC PastSince Nov 1, 2019 Accepting new patients

Locations

701 P St
Ste 303
Lincoln, NE 68508
Phone (402) 489-9792

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1073979514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 CAVALIER ST",
            "city": "WAVERLY",
            "state": "NE",
            "postal_code": "684621649",
            "telephone_number": "402-560-4156",
            "fax_number": "402-267-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 P ST STE 303",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081356",
            "telephone_number": "402-560-4156",
            "fax_number": "402-267-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14620 Cavalier St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "NE",
            "postal_code": "684621649",
            "country_code": "US",
            "telephone_number": "402-560-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "EMILY",
        "credential": "LIMHP, LMHP, LADC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1948",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "REINHARDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.