Temima Basya Goldbaum, LPCC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E2202873 Issued in OH

Practice address

3109 Mayfield Rd Ste 204
Cleveland HTS, OH 44118-1726

Phone

(216) 245-2696

NPI assigned

May 2, 2022

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

Other names 1

• Temima Kovel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mindfulness-Counseling

  • Professional Counselor
  • Cleveland HTS, OH
  • NPI 1982947859
  NPD
• Hallie B. Durchslag, LTD

  • Social Worker
  • Cleveland HTS, OH
  • NPI 1972997559
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1285379586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 BENDEMEER RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 MAYFIELD RD STE 204",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181726",
            "telephone_number": "216-245-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ha-Rav S Sha'ulzon St 50",
            "address_2": "Apt. 10, Floor 4",
            "address_purpose": "LOCATION",
            "city": "Jerusalem",
            "state": "Israel",
            "postal_code": "9540051",
            "country_code": "IL",
            "telephone_number": "216-245-2696",
            "country_name": "Israel",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "GOLDBAUM",
        "first_name": "TEMIMA",
        "middle_name": "BASYA",
        "credential": "LPCC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "E2202873",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2202873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEMIMA",
            "last_name": "KOVEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lakea Gaiter
• Tenisha Gant
• Makeisha Gary, LPN
• Tracey Lynn Georgeone, PHARMD
• Mark Jester Enal Gloriani, P.T.
• Awilda Gonzalez-Simmons
• Lydia Gooch, LPN
• Sandra Faye Graham
• Dishell Grays
• Carolyn Green

• Mental Health Counselor in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.