Individual provider Active NPI

Chelsea Christine Goody, LCPC

  • Mental Health Counselor
  • Towson, MD
National Provider Identifier
1275177263
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP9907 Issued in MD
Practice address
1122 Kenilworth Dr Ste 200
Towson, MD 21204-2139
Phone
(443) 789-7991
Fax
(443) 921-2919
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP9907 MD Primary

Addresses

Primary practice location

1122 Kenilworth Dr Ste 200
Towson, MD 21204-2139

Mailing address

350 N Gotwalt St
York, PA 17404-5015
Phone (410) 812-6388

Other identifiers 1

IdentifierTypeStateIssuer
LGP9907OtherMDBOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS

Other names 1

  • Chelsea C Bope Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgoody@marylandanxietycenter.com Direct

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

State licenses

LicenseStateTypeSpecialty
LGP9907MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goody Counseling Services Mental Health CurrentSince Jun 11, 2023 Accepting new patients
Goody Therapy Services CurrentSince Dec 17, 2023 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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1275177263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N GOTWALT ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174045015",
            "telephone_number": "410-812-6388",
            "fax_number": "410-526-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042139",
            "telephone_number": "443-789-7991",
            "fax_number": "443-921-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODY",
        "first_name": "CHELSEA",
        "middle_name": "CHRISTINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS",
            "identifier": "LGP9907",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgoody@marylandanxietycenter.com",
            "affiliation": "N",
            "endpointDescription": "Business Email (Secured)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1122 Kenilworth Dr Ste 200",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212042139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "BOPE",
            "middle_name": "C",
            "credential": "LGPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.