Active NPI
Shirley A Good, PH.D.
- Mental Health Counselor
- Sarasota, FL
National Provider Identifier
1295846020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11489
- Practice address
- 4041 Bahia Vista St
Sarasota, FL 34232-2421 - Phone
- (361) 739-2323
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11489 | FL | Primary |
| Professional Counselor | 101YP2500X | LPC 10722 | TX |
Addresses
Primary practice location
4041 Bahia Vista St
Sarasota, FL 34232-2421
Mailing address
1674 Cottonwood TRL
Sarasota, FL 34232-3443
Phone (361) 739-2323
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 |
|---|---|---|---|
| LPC 10722 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1295846020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1674 COTTONWOOD TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342323443",
"telephone_number": "361-739-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 BAHIA VISTA ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342322421",
"telephone_number": "361-739-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "SHIRLEY",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11489",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "LPC 10722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.