Jennifer Goodrich

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006736 Issued in VA

Practice address

6408 Grovedale Dr Ste 103
Alexandria, VA 22310-2596

Phone

(202) 329-6078

NPI assigned

Sep 6, 2016

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

Enrolled in VA

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fredericksburg Christian Health CenterGroup PAC ID 5890887962, 7 clinicians

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.

• Fredericksburg Christian Health Center

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1639222359
  Medicare reassignment Care Compare group NPD
• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1225585409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 LEE JACKSON CIR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225533818",
            "telephone_number": "202-329-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 GROVEDALE DR STE 103",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102596",
            "telephone_number": "202-329-6078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Freezeland View Ln",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "VA",
            "postal_code": "226426081",
            "country_code": "US",
            "telephone_number": "772-985-3698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gonzales
• Gonzalez Recovery Residences, Inc.
• Good Shepherd Nursing and Senior Care Inc
• Madison P Good, DPT
• Mary Kathleen Goode, RN
• Goodwin House Home and Community Based Services
• Goodwin House Incorporated
• Marcus Suseel Gopalan
• Goran Dosen , DDS, PC
• Kathleen Frances Gordon-Granado, LPC

• Professional Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.