Active NPI
Marcia L Goodsite, LPCC
- Mental Health Counselor
- Sandusky, OH
National Provider Identifier
1104165547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1901157
- Practice address
- 1925 Hayes Ave
Sandusky, OH 44870-4737 - Phone
- (419) 557-6262
- NPI assigned
- Feb 5, 2013
- Reactivated
- Jun 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 | E.1901157 | OH | Primary |
Addresses
Primary practice location
1925 Hayes Ave
Sandusky, OH 44870-4737
Mailing address
202 Cleveland Rd W Ste 3
Huron, OH 44839-1671
Phone (419) 577-6010
Other practice location 1
245 Neal Ave
Mount Gilead, OH 43338-9372
Phone (419) 946-6734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104165547 | Medicaid | OH |
Other names 1
- Marcia L Priddy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Huron |
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 |
|---|---|---|---|
| E.1901157 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1104165547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CLEVELAND RD W STE 3",
"city": "HURON",
"state": "OH",
"postal_code": "448391671",
"telephone_number": "419-577-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448704737",
"telephone_number": "419-557-6262"
}
],
"practiceLocations": [
{
"address_1": "245 Neal Ave",
"address_purpose": "LOCATION",
"city": "Mount Gilead",
"state": "OH",
"postal_code": "433389372",
"country_code": "US",
"telephone_number": "419-946-6734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODSITE",
"first_name": "MARCIA",
"middle_name": "L",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"deactivation_date": "2020-05-28",
"reactivation_date": "2020-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1901157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104165547",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Huron",
"affiliation": "N",
"address_1": "202 Cleveland Rd W Ste 3",
"city": "Huron",
"state": "OH",
"country_code": "US",
"postal_code": "448391671",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARCIA",
"last_name": "PRIDDY",
"middle_name": "L",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.