Jonathan Clarke Goodman, LMHC, MHP, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1002 39TH Ave SW Ste 208
Puyallup, WA 98373-3805

Phone

(253) 234-5464

Fax

(253) 317-2787

NPI assigned

Aug 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Whispering Rock Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Puyallup, WA
  • NPI 1487411278
  NPD Authorized official
• Surf, Sand and Sage, PLLC

  • Community/Behavioral Health Agency
  • Puyallup, WA
  • NPI 1134984917
  NPD

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1205212545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 2ND ST SW",
            "address_2": "SUITE 281",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98371",
            "telephone_number": "253-234-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 39TH AVE SW STE 208",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733805",
            "telephone_number": "253-234-5464",
            "fax_number": "253-317-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JONATHAN",
        "middle_name": "CLARKE",
        "credential": "LMHC, MHP, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60796049",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Samaritan Hospital
• Good Samaritan Outreach Services
• Good Samaritan Surgery Center LLC
• Marc William Goodboy, PA-C
• Chelsi Goodman, MD
• Jill Rita Goodrich, MBA OTR/L
• Angela Gordon, LMT
• Kenna Gordon
• Robert George Gordon, LMP
• Daniel Gorenberg, DPT

• Professional Counselor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.