Individual provider Active NPI

Andrea Goolab, LMHC

  • Mental Health Counselor
  • Davie, FL
National Provider Identifier
1306795851
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25588 Issued in FL
Practice address
4224 SW 71St Way
Davie, FL 33314-3146
Phone
(954) 736-7900
NPI assigned
Jan 27, 2026
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 MH25588 FL Primary

Addresses

Primary practice location

4224 SW 71St Way
Davie, FL 33314-3146

Mailing address

4224 SW 71St Way
Davie, FL 33314-3146
Phone (954) 736-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310001085 FL Practitioner - Mental Health Counselor 3870076771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CQC Healthcare PAGroup PAC ID 7113291642, 4 clinicians

Practice addresses (Care Compare)

3816 Hollywood Blvd
Suite 205
Hollywood, FL 33021-6750
Phone (786) 207-4788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH25588FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CQC Healthcare PA CurrentSince Feb 2, 2026 Accepting new patients

Locations

3816 Hollywood Blvd
Ste 205
Hollywood, FL 33021
Phone (786) 207-4788

Organizations & group practices 1

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": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1306795851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 SW 71ST WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143146",
            "telephone_number": "954-736-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 SW 71ST WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143146",
            "telephone_number": "954-736-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLAB",
        "first_name": "ANDREA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.