Individual provider Active NPI

Ana M. Goldman, MA, CSW, LPC

  • Professional Counselor
  • Linden, NJ
National Provider Identifier
1184837411
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 002156 Issued in NJ
Practice address
1008 Wheatsheaf Rd
Linden, NJ 07036-2919
Phone
(908) 397-3415
NPI assigned
May 7, 2007
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Professional Counselor 101YP2500X LPC 002156 NJ Primary

Addresses

Primary practice location

1008 Wheatsheaf Rd
Linden, NJ 07036-2919

Mailing address

1008 Wheatsheaf Rd
Linden, NJ 07036-2919
Phone (908) 397-3415

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC 002156NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Middlesex Past Accepting new patients
County of Middlesex PastSince Dec 15, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1184837411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WHEATSHEAF RD",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070362919",
            "telephone_number": "908-397-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WHEATSHEAF RD",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070362919",
            "telephone_number": "908-397-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ANA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MA, CSW, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "LPC 002156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.