Cheryl Goodheart, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P9512040 Issued in AR

Practice address

200 Pecan Ave
Magnolia, AR 71753-2774

Phone

(870) 234-0739

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124139407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S CALHOUN",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533659",
            "telephone_number": "870-234-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PECAN AVE",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532774",
            "telephone_number": "870-234-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHEART",
        "first_name": "CHERYL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P9512040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5T719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelbi Coleen Garner, OTR
• Judith W Gaylord
• Teddra D Gilbert
• Michael Gillard
• Courtney Goble, PTA
• Melissa Ann Goodson, NP
• David Michael Goodwin, OTR
• Tara Lynn Goodwin, APRN
• Cassidy Gorman
• Demetrica Green

• Mental Health Counselor in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.