Lindsay Phillips-Goodwin, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.178236 Issued in OH

Practice address

3793 Green Rd
Beachwood, OH 44122-5705

Phone

(216) 232-5302

Fax

(216) 393-3690

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1083245641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HARTSHORN DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772601",
            "telephone_number": "216-527-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225705",
            "telephone_number": "216-232-5302",
            "fax_number": "216-393-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-GOODWIN",
        "first_name": "LINDSAY",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2021-09-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.178236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Pettus
• Michelle Marie Pfeil
• John Pfeister, APRN-CNP
• Hang Thanh Thi Pham, M.D.
• Michael Philipp
• Melinda Phillips
• Sharon Lynne Phillips, PHD, CNS
• Phoenix Health Services, LLC
• Tara Pickenpaugh
• Herschel Judah Pickholtz, ED.D.

• Addiction (Substance Use Disorder) Counselor in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.