Joy Michele Gootkin, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

073244-1 Issued in NY

Practice address

14 Redwood LN
South Setauket, NY 11720-1431

Phone

(631) 696-8006

Fax

(631) 696-8006

NPI assigned

Oct 4, 2006

Last updated

Jul 21, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• 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.

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  • NPI 1811905292
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184719833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 REDWOOD LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201431",
            "telephone_number": "631-696-8006",
            "fax_number": "631-696-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 REDWOOD LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201431",
            "telephone_number": "631-696-8006",
            "fax_number": "631-696-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOTKIN",
        "first_name": "JOY",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "073244-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ferrier, OTR/L
• Kara Fiederlein
• Nishaat Focarile, PT
• Barbara Giannelli-O'Brien, LCSW
• Alexandra Gleason, LMFT
• Jennifer Gozaloff
• Michael Patrich Gunning, PH.D.
• Heawon Hake, LCSW
• Hart to Heart Clinical Counseling Services LCSW PC
• Jay A Hart, LCSW

• Mental Health Counselor in South Setauket, NY
• Providers in South Setauket, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.