Active NPI
Nancy Jayne Good, MSW, LCSW, PH.D.
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1295824514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- L7306
- Practice address
- 6230 NE 23Rd Ave
Portland, OR 97211-5456 - Phone
- (202) 740-0604
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | L7306 | OR | Primary |
Addresses
Primary practice location
6230 NE 23Rd Ave
Portland, OR 97211-5456
Mailing address
6230 NE 23Rd Ave
Portland, OR 97211-5456
Phone (202) 740-0604
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008905932 | Medicaid | VA | |
| 263172000 | Other | VA | MAGELLAN |
| 110407 | Other | VA | ANTHEM |
| 110407 | Other | VA | BLUE CROSS OR TRIGON |
| A086470 | Other | VA | SENTARA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7306 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1295824514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6230 NE 23RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972115456",
"telephone_number": "202-740-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6230 NE 23RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972115456",
"telephone_number": "202-740-0604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "NANCY",
"middle_name": "JAYNE",
"name_prefix": "Dr.",
"credential": "MSW, LCSW, PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "L7306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008905932",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "263172000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "110407",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OR TRIGON",
"identifier": "110407",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "A086470",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.