Active NPI
Loren Goldstein, LMHC
- Mental Health Counselor
- Farmington, NY
National Provider Identifier
1154987527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006832
- Practice address
- 5940 Kennebec CT
Farmington, NY 14425-8801 - Phone
- (585) 643-0083
- NPI assigned
- May 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006832 | NY | Primary |
Addresses
Primary practice location
5940 Kennebec CT
Farmington, NY 14425-8801
Mailing address
5940 Kennebec CT
Farmington, NY 14425-8801
Phone (585) 643-0083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR72589 | Other | NY | CPH & ASSOCIATES |
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 |
|---|---|---|---|
| 006832 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1154987527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 KENNEBEC CT",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "144258801",
"telephone_number": "585-643-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 KENNEBEC CT",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "144258801",
"telephone_number": "585-643-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "LOREN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPH & ASSOCIATES",
"identifier": "AR72589",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.