Active NPI
Sarah Jane Wyndham Goldman, LPC, NCC
- Professional Counselor
- Greer, SC
National Provider Identifier
1154051605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9552
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC2896 | Medicaid | SC |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Hearts Therapy, LLC | Mental Health | Current | 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.