Individual provider Active NPI

Sarah Jane Wyndham Goldman, LPC, NCC

  • Professional Counselor
  • Greer, SC
National Provider Identifier
1154051605
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9552 Issued in SC
Practice address
602 W Poinsett St
Greer, SC 29650-1448
Phone
(864) 514-4792
Fax
(864) 448-1558
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 9552 SC
Mental Health Counselor 101YM0800X 9552 SC
School Counselor 101YS0200X 9552 SC
Professional Counselor 101YP2500X 9552 SC Primary

Addresses

Primary practice location

602 W Poinsett St
Greer, SC 29650-1448

Mailing address

407 Brighton Woods Dr
Moore, SC 29369-9649
Phone (864) 494-4222

Other practice location 1

407 Brighton Woods Dr
Moore, SC 29369-9649
Phone (828) 817-8909

Other identifiers 1

IdentifierTypeStateIssuer
PC2896MedicaidSC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Hearts Therapy, LLC Mental Health CurrentSince Dec 8, 2024 Accepting new patients

Locations

602 W Poinsett St
Greer, SC 29650
Phone (864) 230-2567

Organizations & group practices 1

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1154051605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BRIGHTON WOODS DR",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699649",
            "telephone_number": "864-494-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501448",
            "telephone_number": "864-514-4792",
            "fax_number": "864-448-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Brighton Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "SC",
            "postal_code": "293699649",
            "country_code": "US",
            "telephone_number": "828-817-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SARAH JANE",
        "middle_name": "WYNDHAM",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "9552",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9552",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "SC",
            "license": "9552",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2896",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.