Individual provider Active NPI

Shaina Goelman, LMFT

  • Mental Health Counselor
  • Encino, CA
National Provider Identifier
1285373365
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
130909 Issued in CA
Practice address
16633 Ventura Blvd Ste 711
Encino, CA 91436-1827
Phone
(562) 383-0283
NPI assigned
May 27, 2022
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 130909 CA Primary

Addresses

Primary practice location

16633 Ventura Blvd Ste 711
Encino, CA 91436-1827

Mailing address

16633 Ventura Blvd Ste 711
Encino, CA 91436-1827

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
130909CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Wellness Spa, a Medical PC Past Accepting new patients
Planned Parenthood Los Angeles-Lakewood Center Basic Past Accepting new patients
Planned Parenthood Los Angeles Burbank Past Accepting new patients
Planned Parenthood Los Angeles Canoga Park Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shaina.goeimanlmft.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 4

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1285373365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD STE 711",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD STE 711",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361827",
            "telephone_number": "562-383-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELMAN",
        "first_name": "SHAINA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "130909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.