Active NPI
Leeann Goodson, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Nottingham, MD
National Provider Identifier
1295449916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R200697
- Practice address
- 7939 Honeygo Blvd Ste 224
Nottingham, MD 21236-5992 - Phone
- (410) 933-3700
- NPI assigned
- Jan 9, 2023
- Last updated
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R200697 | MD | Primary |
Addresses
Primary practice location
7939 Honeygo Blvd Ste 224
Nottingham, MD 21236-5992
Mailing address
4555 Golden Meadow Dr
Perry Hall, MD 21128-9037
Phone (443) 693-3429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7939 Honeygo Blvd
Suite 224
Nottingham, MD 21236-5992
Phone (410) 933-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Springs Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Harmony Counceling Center Inc | Current | Accepting new patients |
Locations
7939 Honeygo Blvd
Ste 224
Nottingham, MD 21236
Phone (410) 933-3700
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.
-
- Mental Health Counselor
- Nottingham, MD
- NPI 1861981276
-
- Psychiatric/Mental Health Nurse Practitioner
- Towson, MD
- NPI 1811748429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1295449916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 GOLDEN MEADOW DR",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289037",
"telephone_number": "443-693-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7939 HONEYGO BLVD STE 224",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212365992",
"telephone_number": "410-933-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSON",
"first_name": "LEEANN",
"credential": "CRNP-PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R200697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
- Itzel Gonzalez Rodriguez
- Christine Goode, M.S.
- Eric J. Goode, PHYSICAL THERAPIST
- Haley Goodman, LCPC
- Goodness & Paradise Inc (Goodness & Paradise Healthcare Services)
- Bria Michele Goodwin, LCSW-C
- Marcia A. Gordon, D.D.S.
- Elizabeth Kathlene Gousha, LMT
- Grace Healing Wellness Center
- Gracia Services LL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.