Jessica Marie McGoldrick

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FI00212000 Issued in NJ

Practice address

50 Lakeside Dr
Marlton, NJ 08053-2713

Phone

(609) 480-0393

NPI assigned

Nov 8, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serenity Therapy & Counseling

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
  • NPI 1083151112

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1316655483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SYCAMORE AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345204",
            "telephone_number": "302-535-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LAKESIDE DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532713",
            "telephone_number": "609-480-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOLDRICK",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00212000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theranest.com",
            "affiliation": "N",
            "endpointDescription": "EHR Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Theranest",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "50 Lakeside Dr",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melody Grace McCulley, DNP, APN, FNP-C
• Kathleen McDonald, RN APN,C
• Natalie R. McFetridge, MA, CCC-SLP
• Candace Ann McGarry, MS, CCC-SLP
• Dene McGinnis Grinnell, MSN APRN FNP-C
• Thomas McGowan Jr., LPC
• Karie Jean McGuire, LCSW
• Bryan J McIntyre, DO
• Kyle S McIntyre
• Candace R McKay, M.A., N.C.C., L.P.C.

• Marriage & Family Therapist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.