Organization Active NPI

Emily L. Goodman PC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1184253502
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMILY L. GOODMAN PC
Practice address
701 P St Ste 303
Lincoln, NE 68508-1356
Phone
(402) 560-4156
Fax
(402) 267-4656
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Emily L Goodman, LIMHP LADCNPI 1073979514
Title
Owner
Phone
(402) 560-4156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

701 P St Ste 303
Lincoln, NE 68508-1356

Mailing address

701 P St Ste 303
Lincoln, NE 68508-1356
Phone (402) 560-4156

Other practice location 1

14620 Cavalier St
Waverly, NE 68462-1649
Phone (402) 560-4156

Other identifiers 1

IdentifierTypeStateIssuer
1026822500MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328000158 NE Part B Supplier - Clinic/Group Practice 4486091295 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

701 P St
Ste 303
Lincoln, NE 68508
Phone (402) 489-9792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1184253502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 P ST STE 303",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081356",
            "telephone_number": "402-560-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 P ST STE 303",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081356",
            "telephone_number": "402-560-4156",
            "fax_number": "402-267-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14620 Cavalier St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "NE",
            "postal_code": "684621649",
            "country_code": "US",
            "telephone_number": "402-560-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILY L. GOODMAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-560-4156",
        "authorized_official_credential": "LIMHP LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026822500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.