Amelie Gooding, LCMHC MLADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

326 Issued in NH

Practice address

106 Roxbury St
Keene, NH 03431-3816

Phone

(603) 358-4041

Fax

(603) 358-6527

NPI assigned

Sep 2, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Phoenix House of New England

  • Community/Behavioral Health Agency
  • Keene, NH
  • NPI 1437327939
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1265832877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROXBURY ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313816",
            "telephone_number": "603-358-4041",
            "fax_number": "603-358-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROXBURY ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313816",
            "telephone_number": "603-358-4041",
            "fax_number": "603-358-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "AMELIE",
        "credential": "LCMHC  MLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0592",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brieana H Golia, PHARMD
• Ana G Gonzalez, MED
• Autumn D Gonzalez
• Demetria Mercedes Gonzalez
• Christine Goodhue, M.S. CCC-SLP
• Eric Michael Goodman, ARNP
• Christine Nicole Goodwin
• Joseph M Goreham, RPH
• Casey Marie Gormely
• Sarah Gornall, OTR/L

• Mental Health Counselor in Keene, NH
• Providers in Keene, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.