Constance F Goodrum, IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

F.2600626 Issued in OH

Practice address

700 Chestnut St
Xenia, OH 45385-5110

Phone

(937) 554-3298

NPI assigned

Sep 23, 2022

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• De'Asia L. Thompson, Lisw, LLC

  dba Rise Counseing Group

  • Clinical Social Worker
  • Dayton, OH
  • NPI 1356857403

  Marriage & Family Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1174246235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHESTNUT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855110",
            "telephone_number": "937-554-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHESTNUT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855110",
            "telephone_number": "937-554-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRUM",
        "first_name": "CONSTANCE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "IMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2600626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001096",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Godbey
• Elizabeth Bain Gomez, CDCA
• Frank J Gonsalves, LPN
• Michael W. Good, MD
• Rickie Good
• Quanteria Goodwin
• Christopher Goss
• Megan Rose Gottsacker, RN
• Aaron Gough
• Stacey Gough, LPN

• Marriage & Family Therapist in Xenia, OH
• Providers in Xenia, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.